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Statewide Health Check Forms

Form Name

Statewide
barcode number

FAMMIS
material number

Order
Max number

Packaging
Unit

Health Check 1 to 6 weeks

SW609

10317738

4343581

Pkt / 50

Health Check  2 months to under 6 months

SW610

10317739

4343603

Pkt / 50

Health Check 6 months to under 18 months

SW611

10317740

4343611

Pkt / 50

Health Check 18 months to under 3 years

SW612

10317751

4343638

Pkt / 50

Health Check 3 years to under 5 years

SW613

10317752

4343646

Pkt / 50

Health Check 5 years to under 15 years

SW614

10317753

4343654

Pkt / 50

Health Check 15+ years

SW615

10317754

4343662

Pkt / 50

Care Management Plan

SW046

N/A

N/A

Download
only

Referral Following Health Check

SW211

N/A

4317343

 

How to download or order

Download

Please visit https://publications.qld.gov.au/dataset/queensland-health-health-check-forms

Queensland Health Facilities

Contact your local Purchasing team for advice on how to order these forms (i.e. FAMMIS reservation / requisition)

External Health Facilities

Contact OfficeMax directly to set up an account on 13 66 29

  • Only sites that order directly online via OrderMax will need the OrderMax number
  • To ensure you have the current version of any form only order small quantities
  • Number of forms per pack is the minimum quantity available to order

For further information: RRCSUCairns@health.qld.gov.au

Last updated: 8 February 2016