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It collects contact and demographic data, carer and emergency contact information with consent options, and interpreter needs. The patient assessment section prompts clinicians to document presenting problems, history of the current episode, mental health, social and medical/biological background, family history including suicidal behaviour, and parenting-related impacts for any children under 18.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/gp-mental-health-treatment-plan-version-for-adults/192233/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/gp-mental-health-treatment-plan-version-for-adults/192233.png","ImageObject",442,249,{"name":88,"@type":89},"wps_ap_test_251126_0180","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-07","2026-09-03",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",9,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information does the form collect about the GP and the patient?","Question",{"text":109,"@type":110},"It gathers GP and practice contact details, provider number, and the patient’s surname, given names, preferred name, date of birth, gender, address, phone numbers, Medicare number, and healthcare card/pension number.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How does the form address consent for involving carers and emergency contacts?",{"text":114,"@type":110},"It includes prompts asking whether the patient consented for the healthcare team to contact carer/support persons and emergency contacts, with yes/no options and optional restrictions.",{"name":116,"@type":107,"acceptedAnswer":117},"What does the mental health assessment section prompt clinicians to document?",{"text":118,"@type":110},"It prompts clinicians to record reasons for presenting, history of the current episode (onset, duration, intensity, time course), patient mental health and social history, salient medical/biological history, developmental issues, family history of mental illness including suicidal behaviour, and the parent-and-children needs for any children under 18.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},192233,1788413745,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":101,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":126,"read_time":76},8796095027276,"https://avatar.qwps.com/avatar/d3BzX2FwX3Rlc3RfMjUxMTI2XzAxODA=","| \u003Cbr>GP MENTAL HEALTH TREATMENT PLAN – VERSION FOR ADULTS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Notes: This form is designed for use with the following MBS items. Users should be familiar with the mostrecent item definitions and requirements.\u003Cbr>MBS ITEM NUMBER:  2700  2701  2715  2717\u003Cbr>Major headings are bold; prompts to consider lower case. Response fields can be expanded as required. Underlined items of either type are mandatory for compliance with Medicare requirements. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| CONTACT AND DEMOGRAPHIC DETAILS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| GP name |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | GP phone |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| GP practice name |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | GP fax |  |  |  |  |  |  |  |  |  |  |\n| GP address |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Provider\u003Cbr>number |  |  |  |  |  |  |  |  |  |  |\n| Relationship | This person has been my patient since |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | and/or |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | This person has been a patient at this practice since |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Patient\u003Cbr>surname |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date of birth\u003Cbr>(dd/mm/yy) |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Patient firstname(s) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Preferred\u003Cbr>name |  |  |  |  |  |  |  |  |  |  |\n| Gender |  Female  Male  Self-identified gender: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Patient\u003Cbr>address |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Patient\u003Cbr>phone | Preferred number:\u003Cbr>Can leave message?  Yes  No |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Alternative number:\u003Cbr>Can leave message?  Yes  No |  |  |  |  |  |  |  |  |  |  |  |  |\n| Medicare No. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Healthcare Card/Pension\u003Cbr> No.  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Highest level of education completed |  |  |  |  |  |  |  |  Primary school\u003Cbr> Secondary school\u003Cbr> TAFE\u003Cbr> Tertiary degree\u003Cbr>Comments: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Is this person a parent of a child 0 – 18 years  Yes  No |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Carer/support person contact details |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Has patient consented for this\u003Cbr>healthcare team to contact  carer/support persons?  |  |  |  |  |  |  |  |  |  |\n| First contact: |  |  |  |  | Relationship: |  |  |  |  | \u003Cbr>Phone number 1:\u003Cbr>Phone number 2: |  |  |  |  |  |  |  |  |  |  Yes\u003Cbr>With the following restrictions: |  |  |  |  |  |  |  No |  |  |\n| Second contact: |  |  |  |  | Relationship: |  |  |  |  |  | Phone number 1:\u003Cbr>Phone number 2: |  |  |  |  |  |  |  |  |  Yes |  |  |  |  |  |  |  No |  |  |\n\n\n|  |  |  |  |  |  | With the following restrictions: |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |  |  | ","cbCaisE5NlPuEqrj","https://ap.wps.com/l/cbCaisE5NlPuEqrj","pdf",106481,"English","# Contact and demographic details\n# Salient communication and cultural factors\n# Patient assessment - mental health\n## Reasons for presenting\n## History of current episode\n## Patient history\n## Family history of mental illness\n## Parent and children needs","[{\"question\":\"What information does the form collect about the GP and the patient?\",\"answer\":\"It gathers GP and practice contact details, provider number, and the patient’s surname, given names, preferred name, date of birth, gender, address, phone numbers, Medicare number, and healthcare card/pension number.\"},{\"question\":\"How does the form address consent for involving carers and emergency contacts?\",\"answer\":\"It includes prompts asking whether the patient consented for the healthcare team to contact carer/support persons and emergency contacts, with yes/no options and optional restrictions.\"},{\"question\":\"What does the mental health assessment section prompt clinicians to document?\",\"answer\":\"It prompts clinicians to record reasons for presenting, history of the current episode (onset, duration, intensity, time course), patient mental health and social history, salient medical/biological history, developmental issues, family history of mental illness including suicidal behaviour, and the parent-and-children needs for any children under 18.\"}]","GP Mental Health Treatment Plan - Version for Adults | PDF"]