The AMS Symptom Score Card is a short questionnaire designed to help you and your doctor understand the severity and impact of your menopause or perimenopause symptoms. It allows you to record symptoms such as hot flushes, sleep disturbance, mood changes, cognitive changes, vaginal dryness and other physical or emotional concerns. Each symptom is rated on a simple scale, helping track changes over time. Completing the score card before your appointment helps your doctor: 1. Understand your most concerning symptoms 2. Assess how menopause is affecting your daily life 3. Guide decisions about treatment options 4. Monitor your progress over time We encourage you to complete the scorecard before your menopause consultation and bring it with you, or submit it via your online form if provided.
The Transfer of Record Form allows you to request that your medical records be safely and securely transferred between healthcare providers. It ensures your new care team has the information they need to continue your care without interruption. Completing this form helps us support continuity, accuracy and coordination in your healthcare.
The K10 (Kessler Psychological Distress Scale) is a short questionnaire that helps you share how you've been feeling emotionally over the past month. It looks at symptoms of stress, anxiety and low mood to give your care team a clearer picture of your overall mental wellbeing. It’s quick to complete and helps guide the support and care that best meets your needs.
The Geriatric Depression Scale is a simple questionnaire designed to help older adults share how they’ve been feeling emotionally. It looks at mood, motivation, and wellbeing, helping your care team understand whether you may be experiencing symptoms of depression. It’s easy to complete and supports care that is sensitive to your needs as you age.
The PROMIS-10 is a short questionnaire that asks about your physical, mental and social wellbeing. It gives your care team a broad understanding of how you’re feeling and functioning, so we can better support your overall health. It’s quick to complete and helps guide care that reflects your lived experience and priorities.
The Measuring Loneliness Scale is a short questionnaire that helps you share how often you feel connected, supported or isolated in your day-to-day life. Your responses help us understand your social well-being and identify whether extra support or connection might be helpful. It’s simple to complete and an important step in supporting your overall health and quality of life.
The Iron Infusion Consent Form helps ensure you understand why an iron infusion is recommended, how the procedure works, and the possible benefits and risks. It gives you space to ask questions and make an informed decision about your treatment. Completing this form supports safe, transparent care and helps us provide the best support for your health and recovery.
The IUD Consent Form ensures you understand the intrauterine device (IUD) procedure, including how it works, its benefits, risks and any alternatives. It gives you the opportunity to ask questions and make an informed decision that feels right for you. Completing this form supports safe, respectful care and helps us provide the best experience for your reproductive health needs.
The Comments and Suggestions form is a simple way for you to share ideas, concerns or feedback about your experience with our practice. Whether it’s something we’re doing well or something we can improve, your voice helps us provide better, more responsive care. It’s quick to complete and an important part of shaping a service that truly meets your needs.
The IIEF-5 (International Index of Erectile Function – 5-item version) is a brief questionnaire that helps assess erectile function and any difficulties you may be experiencing. It provides your clinician with a clearer understanding of your symptoms so we can offer the right advice, support and treatment. It’s discreet, easy to complete and helps guide care that supports your sexual health and wellbeing.
The COPD CAT is a simple questionnaire that helps you share how chronic obstructive pulmonary disease (COPD) affects your daily life. It looks at symptoms like breathlessness, energy levels and how much COPD impacts your activities. Your answers help your care team understand your condition better and guide treatment to improve your breathing and quality of life.
The Brief Pain Inventory is a short questionnaire that helps you describe your pain—how strong it is, how often it occurs, and how much it affects your daily activities. Your responses give your care team a better understanding of your pain experience so we can tailor treatment and support to improve your comfort and quality of life.
The MNA-SF is a quick screening tool that helps us understand your nutritional health. It looks at things like appetite, recent weight changes and general wellbeing to identify if you may be at risk of malnutrition. It’s simple to complete and helps your care team provide the right advice and support to keep you healthy and well.
The MyMedicare consent form allows you to formally register with our practice as your primary source of ongoing care. By giving your consent, you help us build a stronger, more personalised relationship with you, improving continuity, access, and coordination of your healthcare. It’s a simple step that enables better support, clearer communication, and more tailored care to meet your needs.
The PAID scale is a short questionnaire that helps you share the emotional challenges you may experience while living with diabetes. It asks about feelings such as frustration, burnout or worries related to managing your condition. Your responses give your care team a better understanding of how diabetes is affecting you day-to-day, so we can offer the right support and care.
The WHO-5 Wellbeing Index is a short questionnaire that asks about your mood, energy and overall sense of wellbeing over the past two weeks. It helps us understand how you’re feeling emotionally and lets us track changes in your wellbeing over time. It’s quick to complete and provides valuable insight to support your health and care.
The PHQ-9 (Patient Health Questionnaire-9) is a short, validated screening tool used to assess symptoms of depression. It includes nine questions that ask how often you’ve experienced certain thoughts or feelings over the past two weeks, such as low mood, changes in sleep, or loss of interest in activities. It helps clinicians understand the severity of depressive symptoms, monitor changes over time, and guide decisions about the most appropriate support or treatment. It is not a diagnosis on its own, but an important part of good clinical care.
The Consent Form at this link is your way of permitting for us to access your records on the ACT Health's Digital Health Record.
The COVID-19 Yorkshire Rehabilitation Screening (C19-YRS) is a short questionnaire that helps you share any ongoing symptoms or difficulties you may be experiencing after COVID-19. It gives your care team a clear picture of how you’re feeling day-to-day so we can better understand your recovery needs and plan the right support with you. It’s simple to complete and helps ensure your care reflects your lived experience.
The Collaborate-3 form is a quick way for you to tell us how well we explained your health issues, listened to what matters most to you, and involved you in decisions about your care. Your feedback helps us understand what we’re doing well and where we can improve, so we can provide care that truly reflects your needs, values and preferences. It only takes a moment to complete, but it makes a real difference to the quality of your care.
Your Voice Matters is a simple one-question feedback tool that helps us understand your experience with our care. We ask how likely you are to recommend our practice to friends or family. Your response helps us learn what we’re doing well and where we can improve. Every piece of feedback helps us create a better, more supportive experience for you and our community.
The DASS-21 is a quick questionnaire that helps you share how you’ve been feeling in terms of depression, anxiety and stress over the past week. It gives your care team a clearer understanding of your emotional wellbeing so we can better support you. It’s simple to complete and helps guide care that’s responsive to how you’re really feeling.
