Use these forms for health checks from birth to old age to identify chronic conditions. They are part of the Chronic Conditions Manual.
The forms will guide you through Medicare compliant health check assessments using:
- direct questioning
- clinical procedures
- recommended referral pathways.
For help with clinical procedures described in a health check, the corresponding procedure can be found in the Chronic Conditions Manual.
Forms
- Care management plan (PDF 221 kB)
- Health check: 1 to 6 weeks (PDF 192 kB)
- Health check: 2 months (PDF 168 kB)
- Health check: 4 months (PDF 169 kB)
- Health check: 6 months (PDF 221 kB)
- Health check: 9 months (PDF 159 kB)
- Health check: 12 months (PDF 162 kB)
- Health check: 18 months (PDF 160 kB)
- Health check: 2 years (PDF 160 kB)
- Health check: 3 years (PDF 212 kB)
- Health check: 4 years (PDF 162 kB)
- Health check: 5 to < 15 years (PDF 175 kB)
- Health check consent 5 to 15 years (PDF 146 kB)
- Health check: 15 years + (PDF 227 kB)
- Team care arrangements (PDF 220 kB)
Last updated: 7 July 2025