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Statewide Health Check Forms

The full suite of revised 2021 Statewide Health Check forms are available to download directly from the Queensland Health publications portal.

Form Name

SW #

Form Status

Care Management Plan

NA QHEPS Link

Health Check - 1 to 6 weeks

984

QHEPS Link

Health Check - 2 months

985

QHEPS Link

Health Check - 4 months

986 QHEPS Link

Health Check - 6 months

987

QHEPS Link

Health Check - 9 months

988

QHEPS Link

Health Check - 12 months

989

QHEPS Link

Health Check - 18 months

990 QHEPS Link

Health Check - 2 years

991 QHEPS Link

Health Check - 3 years

992 QHEPS Link

Health Check - 4 years

993 QHEPS Link

Health Check - 5 years to < 15 years

994

QHEPS Link

Health Check 15 years +

995

QHEPS Link

Team Care Arrangements

NA

QHEPS Link

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

Last updated: 8 February 2016