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{\footer\pard\plain\f0\fs16 REFERRAL FORM: DAY THERAPY SERVICES IN CNAHS   Patient Name: {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs16 <<Patient Demographics:Full Name>>{\*\txfieldend}\plain\f0\fs16     Patient DOB: {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs16 <<Patient Demographics:DOB>>{\*\txfieldend}\par}
{\headerf\pard\plain\f0\fs24 REFERRAL FORM: DAY THERAPY SERVICES IN CNAHS  \par}
{\footerf\pard\plain\f0\fs24\par}\pard\s16\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs20\b\par\trowd\trgaph30\trleft0\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrt\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx10131\pard\widctlpar\intbl\pard\s16\intbl\qc\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080 To the coordinator of:\par{\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 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}{\*\txfieldtext \plain\f0\fs24\b\ul <<Day Therapy Centre>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|L|||1025|1. Clearview- Uniting Care- Ph 8262 3377- Fax 8262 3060|2. Elizabeth- Resthaven- Ph 8252 6811- Fax 8252 6822|3. Elizabeth Pk- Anglicare- Ph 8287 5521- Fax 8255 7157|4. Glynde- Lutheran Homes Inc- Ph 8337 0488- Fax 8365 1109|5. Greenacres- ECH- Ph 8369 3393- Fax 8261 0059|6. Hendon- Acacia Court- Ph 8243 1844- Fax 8243 0430|7. Henley Beach- ECH- Ph 8356 3169- Fax 8356 7014|8. Ingle Farm- Helping Hand- Ph 8281 2884- Fax 8281 1608|9. Largs Bay- Southern Cross Care- Ph 8242 2985- Fax 8249 9617|10. Modbury- Salvation Army Healthlink- Ph 8264 8300- Fax 8264 0133|11. Myrtle Bank- Southern Cross Care- Ph 8379 9755- Fax 8338 6790|12. Newton- ACH- Ph 8360 9433- Fax 8357 3255|13. Nth Adelaide- Helping Hand- Ph 8281 2884- Fax 8281 1608|14. Nth Plympton- Southern Cross Care- Ph 8179 6825- Fax 8297 7615|15. Paradise- Resthaven- Ph 8337 4371- Fax 8336 9952|16. Payneham- Life Care- Ph 8336 2488- Fax 8336 2788|17. Ridgehaven- Masonic Homes- Ph 8375 1525- Fax 8375 1515|18. Salisbury- Helping Hand- Ph 8281 2884- Fax 8281 1608| ^"}}{\fldrslt{\plain\f0\fs24\b\ul <<Day Therapy Centre>>}}}}\plain\f0\fs20\b\par\plain\f0\fs20 (Note: After printing the form, please tick the specific services required for the patient and sign the GP section)\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft0\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\cellx10131\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\par\plain\f0\fs20 PATIENT DETAILS\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft0\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrt\brdrs\brdrw10\clbrdrr\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx4866\clvertalt\clbrdrl\brdrs\brdrw10\clbrdrt\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx10131\pard\widctlpar\intbl\pard\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs20\b Given Names: {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs24\b\ul <<Patient Demographics:First Name>>{\*\txfieldend}\plain\f0\fs20\par\plain\f0\fs20\b Surname:\plain\f0\fs20  {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs24\b\ul <<Patient Demographics:Surname>>{\*\txfieldend}\plain\f0\fs20\par\plain\f0\fs20\b Address:\plain\f0\fs20  \par{\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20 <<Patient Demographics:Full Address>>{\*\txfieldend}\plain\f0\fs20\b\par Date of Birth:{\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20 <<Patient Demographics:DOB>>{\*\txfieldend}\plain\f0\fs20\b\par\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs20\b Phone:\plain\f0\fs20  {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20 <<Patient Demographics:Phone (Home)>>{\*\txfieldend}\plain\f0\fs20 (Home) \par\par\plain\f0\fs20\b Contact Person:\plain\f0\fs20  {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c0043007c00320030007c007c0030007c000000}{\*\txfieldtext \plain\f0\fs20 <<Contact Person (if not the patient)>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|C|20||0|"}}{\fldrslt{\plain\f0\fs20 <<Contact Person (if not the patient)>>}}}}\plain\f0\fs20\par\plain\f0\fs20\b Phone:\plain\f0\fs20  {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c004e007c00310035007c007c0030007c000000}{\*\txfieldtext \plain\f0\fs20 <<Contact Person's Phone Number>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|N|15||0|"}}{\fldrslt{\plain\f0\fs20 <<Contact Person's Phone Number>>}}}}\plain\f0\fs20\b\cell Interpreter Required:\plain\f0\fs20  {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c0042007c007c007c0031007c004e000000}{\*\txfieldtext \plain\f0\fs20 <<Interpreter Required?>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|B|||1|N"}}{\fldrslt{\plain\f0\fs20 <<Interpreter Required?>>}}}}\plain\f0\fs20\b\par Language:\plain\f0\fs20  {\txfielddef{\*\txfieldstart\txfieldtype1\txfieldflags26}{\*\txfielddatadef\txfielddatatype1\txfielddata 230043005500530054004f004d0023007c0043007c00320030007c007c0030007c000000}{\*\txfieldtext \plain\f0\fs20 <<Language>>}{\field{\*\fldinst { HYPERLINK "CUSTOM" \\l "|C|20||0|"}}{\fldrslt{\plain\f0\fs20 <<Language>>}}}}\plain\f0\fs20  \par\plain\f0\fs20\b ATSI:\plain\f0\fs20  {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c0042007c007c007c0031007c004e000000}{\*\txfieldtext \plain\f0\fs20 <<ATSI?>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|B|||1|N"}}{\fldrslt{\plain\f0\fs20 <<ATSI?>>}}}}\plain\f0\fs20\par\par\plain\f0\fs20\b Medicare Number:\plain\f0\fs20  {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20 <<Patient Demographics:Medicare Number>>{\*\txfieldend}\plain\f0\fs20\par\plain\f0\fs20\b Pensioner:\plain\f0\fs20  {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c0042007c007c007c0031007c004e000000}{\*\txfieldtext \plain\f0\fs20 <<Pensioner?>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|B|||1|N"}}{\fldrslt{\plain\f0\fs20 <<Pensioner?>>}}}}\plain\f0\fs20     {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20 <<Patient Demographics:Pension Number>>{\*\txfieldend}\plain\f0\fs20\b\par DVA: {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c0042007c007c007c0031007c004e000000}{\*\txfieldtext \plain\f0\fs20 <<DVA?>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|B|||1|N"}}{\fldrslt{\plain\f0\fs20 <<DVA?>>}}}}\plain\f0\fs20     {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20 <<Patient Demographics:DVA Number>>{\*\txfieldend}\plain\f0\fs20\b\par Dom Care Client:\plain\f0\fs20  {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c0042007c007c007c0031007c004e000000}{\*\txfieldtext \plain\f0\fs20 <<Dom Care Client?>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|B|||1|N"}}{\fldrslt{\plain\f0\fs20 <<Dom Care Client?>>}}}}\plain\f0\fs20\b\par Private Health:\plain\f0\fs20  {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c0042007c007c007c0031007c004e000000}{\*\txfieldtext \plain\f0\fs20 <<Private Health Insurance?>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|B|||1|N"}}{\fldrslt{\plain\f0\fs20 <<Private Health Insurance?>>}}}}\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft6\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\cellx10116\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\par\plain\f0\fs20 MEDICAL INFORMATION\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft6\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrt\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx10116\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080 Past Medical History:\par{\txfielddef{\*\txfieldstart\txfieldtype1\txfieldflags26}{\*\txfielddatadef\txfielddatatype1\txfieldbin\txfielddata 59000000}{\*\txfieldtext \plain\f0\fs20 <<Clinical Details:History List>>}{\field{\*\fldinst { HYPERLINK "Y" }}{\fldrslt{\plain\f0\fs20 <<Clinical Details:History List>>}}}}\plain\f0\fs20\b\par Allergies: \par{\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfieldbin\txfielddata 0000}{\*\txfieldtext \plain\f0\fs20 <<Clinical Details:Allergies>>}}\plain\f0\fs20\par\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft6\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrt\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx10116\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080 Current Medications:\par{\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20 <<Clinical Details:Medication List>>{\*\txfieldend}\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft6\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrt\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx10116\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\par\plain\f0\fs20 REASON FOR REFERRAL\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft6\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrt\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx10116\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080{\txfielddef{\*\txfieldstart\txfieldtype1\txfieldflags26}{\*\txfielddatadef\txfielddatatype1\txfielddata 230043005500530054004f004d0023007c0043007c0030007c007c0030007c000000}{\*\txfieldtext \plain\f0\fs20 <<Reason for Referral>>}{\field{\*\fldinst { HYPERLINK "CUSTOM" \\l "|C|0||0|"}}{\fldrslt{\plain\f0\fs20 <<Reason for Referral>>}}}}\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft6\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrt\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx10116\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\par\plain\f0\fs20 PATIENT CONSENT\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft6\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrt\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx10116\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs20 The patient consents to health professionals visiting them in their home: {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c0042007c007c007c0031007c004e000000}{\*\txfieldtext \plain\f0\fs20\b <<Patient consents to health worker visiting home?>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|B|||1|N"}}{\fldrslt{\plain\f0\fs20\b <<Patient consents to health worker visiting home?>>}}}}\plain\f0\fs20\par The patient consents to the GP providing their medical history to health professionals and community service providers: {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c0042007c007c007c0031007c004e000000}{\*\txfieldtext \plain\f0\fs20\b <<Patient consents to release of medical history?>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|B|||1|N"}}{\fldrslt{\plain\f0\fs20\b <<Patient consents to release of medical history?>>}}}}\plain\f0\fs20   \par  \par{\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c004c007c007c007c00360034007c005400680065002000700061007400690065006e0074002000680061007300200067006900760065006e002000760065007200620061006c00200063006f006e00730065006e0074007c005400680065002000700061007400690065006e0074002000770069006c006c0020007300690067006e00200066006f0072006d003a000000}{\*\txfieldtext \plain\f0\fs20\b <<Patient has given verbal consent or signature?>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|L|||64|The patient has given verbal consent|The patient will sign form:"}}{\fldrslt{\plain\f0\fs20\b <<Patient has given verbal consent or signature?>>}}}}\plain\f0\fs20 ...........................................................................\par\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft6\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\cellx10116\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\par\plain\f0\fs20 SERVICES REQUESTED (The numbers refer to the specific Day Therapy Centres providing each service-                                                        please note the number of your chosen Day Therapy Centre above- or refer to the                                                    numbered list of Day Therapy Centres at the end of the form)\plain\f0\fs20\b\ul\cell\intbl\row\pard\trowd\trgaph30\trleft0\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrt\brdrs\brdrw10\clbrdrr\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx3456\clvertalt\clbrdrl\brdrs\brdrw10\clbrdrt\brdrs\brdrw10\clbrdrr\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx6591\clvertalt\clbrdrl\brdrs\brdrw10\clbrdrt\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx10101\pard\widctlpar\intbl\pard\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs22\b 1:1 (Individual) Services:\par\pard\intbl\sb120\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs22\loch\f0\hich\f0\u9633   Dietitian \plain\f0\fs22\up6 2,5\plain\f0\fs22\b\par\pard\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs22\loch\f0\hich\f0\u9633   Podiatry \plain\f0\fs22\up6 (1 to 18)\plain\f0\fs22\par\loch\f0\hich\f0\u9633   Social Work \plain\f0\fs22\up6 2,12,15\par\plain\f0\fs22\loch\f0\hich\f0\u9633   Physiotherapy \plain\f0\fs22\up6 (1 to 18)\plain\f0\fs22\par\loch\f0\hich\f0\u9633   Continence Mx \plain\f0\fs22\up6 2,5,15\par\plain\f0\fs22\loch\f0\hich\f0\u9633   Home Rehabilitation \plain\f0\fs22\up6 17\par\plain\f0\fs22\loch\f0\hich\f0\u9633   Speech Pathology \plain\f0\fs22\up6 2,6,7,1\plain\f0\fs22\par\loch\f0\hich\f0\u9633   Home Assessment                          \plain\f0\fs22\up6 2,3,6,7,8,9,(11 to 17)\par\plain\f0\fs22\loch\f0\hich\f0\u9633   Aquatic Physiotherapy                     \plain\f0\fs22\up6 5,6,9,11,12,14,15\plain\f0\fs22\par\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs22\loch\f0\hich\f0\u9633   Occupational Therapy                     \plain\f0\fs22\up6 2,3,6,7,8,9,11 to 17\plain\f0\fs20\b\cell\pard\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs22\b Group Programs:\par\pard\intbl\sb120\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs22\loch\f0\hich\f0\u9633   Falls & Balance\plain\f0\fs22\b\par\pard\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs22\up6      1 to 9, 11,12,(14 to 17)\plain\f0\fs22\par\pard\intbl\fi-252\li252\tx252\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\loch\f0\hich\f0\u9633   Arthritis Groups                 \plain\f0\fs22\up6 2,3,6,9,11,14,16\plain\f0\fs22\par\pard\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\loch\f0\hich\f0\u9633   Parkinson\'92s Groups\par\plain\f0\fs22\up6      2,6,7,9,11,14,15,16\plain\f0\fs22\par\pard\intbl\fi-252\li252\tx252\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\loch\f0\hich\f0\u9633   Chronic Condition Mx    \plain\f0\fs22\up6 2,7,9,11,14,15,16\plain\f0\fs22\par\pard\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\loch\f0\hich\f0\u9633   Pulmonary Rehab \plain\f0\fs22\up6 2,9,11,14\par\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs22\b\cell\pard\intbl\sb120\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs22\loch\f0\hich\f0\u9633   Pilates \plain\f0\fs22\up6 16\plain\f0\fs22\par\pard\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\loch\f0\hich\f0\u9633   Back Education \plain\f0\fs22\up6 7\par\plain\f0\fs22\loch\f0\hich\f0\u9633   Stroke Self Mx \plain\f0\fs22\up6 2\par\plain\f0\fs22\loch\f0\hich\f0\u9633   Osteoporosis\plain\f0\fs22\up6  9,11,14\par\plain\f0\fs22\loch\f0\hich\f0\u9633   Tai Chi \plain\f0\fs22\up6 2,5,7,9,11,14,16\plain\f0\fs22\par\loch\f0\hich\f0\u9633   Group Ex Classes \plain\f0\fs22\up6 (1 to 18)\plain\f0\fs20\par\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs20\par\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft0\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\cellx10101\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs20\b\par\plain\f0\fs20 GENERAL PRACTITIONER MEDICAL CLEARANCE\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft0\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrt\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx10101\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs20 General Practitioner medical clearance for patient to participate:\plain\f0\fs20\b  {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c0042007c007c007c0031007c004e000000}{\*\txfieldtext \plain\f0\fs20\b <<GP medical clearance for patient to participate?>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|B|||1|N"}}{\fldrslt{\plain\f0\fs20\b <<GP medical clearance for patient to participate?>>}}}}\plain\f0\fs20\par Are there any precautions or limitations that should be avoided?:\plain\f0\fs20\b  {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c0042007c007c007c0031007c004e000000}{\*\txfieldtext \plain\f0\fs20\b <<Any precautions or limitations?>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|B|||1|N"}}{\fldrslt{\plain\f0\fs20\b <<Any precautions or limitations?>>}}}}\plain\f0\fs20\par If yes, specify the precautions or limitations:\plain\f0\fs20\b  {\txfielddef{\*\txfieldstart\txfieldtype1\txfieldflags26}{\*\txfielddatadef\txfielddatatype1\txfielddata 230043005500530054004f004d0023007c0043007c0030007c007c0030007c000000}{\*\txfieldtext \plain\f0\fs20\b <<Specify precautions or limitations>>}{\field{\*\fldinst { HYPERLINK "CUSTOM" \\l "|C|0||0|"}}{\fldrslt{\plain\f0\fs20\b <<Specify precautions or limitations>>}}}}\plain\f0\fs20\par Is the client suitable to participate in a group exercise program?: {\txfielddef{\*\txfieldstart\txfieldtype2\txfieldflags26}{\*\txfielddatadef\txfielddatatype2\txfielddata 230043005500530054004f004d0023007c0042007c007c007c0031007c004e000000}{\*\txfieldtext \plain\f0\fs20\b <<Is the client suitable for group exercise programs?>>}{\field{\*\fldinst { HYPERLINK \\l "#CUSTOM#|B|||1|N"}}{\fldrslt{\plain\f0\fs20\b <<Is the client suitable for group exercise programs?>>}}}}\plain\f0\fs20\b\cell\intbl\row\pard\trowd\trgaph30\trleft0\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\cellx10101\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs20\b\ul\par\plain\f0\fs20 GENERAL PRACTITIONER DETAILS AND SIGNATURE\plain\f0\fs20\b\ul\cell\intbl\row\pard\trowd\trgaph30\trleft0\trpaddl30\trpaddt0\trpaddr30\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrt\brdrs\brdrw10\clbrdrb\brdrs\brdrw10\cellx10101\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs20\b General Practitioner Name: {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20\b\ul <<Doctor:Name>>{\*\txfieldend}\plain\f0\fs20\b\par Practice Address: {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20 <<Doctor:Full Address>>{\*\txfieldend}\plain\f0\fs20\b\par Provider Number: {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20 <<Doctor:Provider Number>>{\*\txfieldend}\plain\f0\fs20\b\par Phone: {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20 <<Doctor:Phone>>{\*\txfieldend}\plain\f0\fs20\b\par Fax: {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20 <<Doctor:Fax>>{\*\txfieldend}\plain\f0\fs20\b\par\par General Practitioner Signature:\plain\f0\fs20 ........................................................          \plain\f0\fs20\b Date:\plain\f0\fs20  {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs20 <<Miscellaneous:Date>>{\*\txfieldend}\plain\f0\fs20\par\plain\f0\fs20\b\cell\intbl\row\pard\pard\s16\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs16 Patient Name: {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs16 <<Patient Demographics:Full Name>>{\*\txfieldend}\plain\f0\fs16   Patient DOB: {\*\txfieldstart\txfieldtype0\txfieldflags26}\plain\f0\fs16 <<Patient Demographics:DOB>>{\*\txfieldend}\plain\f0\fs16  \plain\f0\fs20  \plain\f0\fs12\b\par\plain\f0\fs28\b\par LIST OF DAY THERAPY CENTRES IN CNAHS\plain\f1\fs32\b\par\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat4\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat4\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat4\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat4\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\qc\sb120\sa120\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b\cf3 Suburb\cell\plain\f0\fs22\b\cf3 Organisation/ Street\cell\plain\f0\fs24\b\cf3 Phone\cell Fax\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 1.   Clearview\cell\plain\f0\fs22\b Uniting Care \plain\f0\fs22 254 Hampstead Rd, 5085\plain\f0\fs22\b\cell\plain\f0\fs24 8262 3377\cell 8262 3060\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 2.   Elizabeth\cell\plain\f0\fs22\b Resthaven \plain\f0\fs22 16 Gillingham Rd, 5112\plain\f0\fs22\b\cell\plain\f0\fs24 8252 6811\cell 8252 6822\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 3.   Elizabeth Pk\cell\plain\f0\fs22\b Anglicare \plain\f0\fs22 Unit 19, 110 Yorketown Rd, 5113\plain\f0\fs22\b\cell\plain\f0\fs24 8287 5521\cell 8255 7157\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 4.   Glynde\cell\plain\f0\fs22\b Lutheran Homes Inc \plain\f0\fs22 24 Avenue Rd, 5070\plain\f0\fs22\b\cell\plain\f0\fs24 8337 0488\cell 8365 1109\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 5.   Greenacres\cell\plain\f0\fs22\b ECH \plain\f0\fs22 1/1\plain\f0\fs22\b  \plain\f0\fs22 Rellum Rd, 5086\plain\f0\fs22\b\cell\plain\f0\fs24 8369 3393\cell 8261 0059\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 6.   Hendon\cell\plain\f0\fs22\b Acacia Court \plain\f0\fs22 81 Tapleys Hill Rd, 5014\plain\f0\fs22\b\cell\plain\f0\fs24 8243 1844\cell 8243 0430\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 7.   Henley Beach\cell\plain\f0\fs22\b ECH \plain\f0\fs22 168 Cudmore Tce, 5022\plain\f0\fs22\b\cell\plain\f0\fs24 8356 3169\cell 8356 7014\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 8.   Ingle Farm\cell\plain\f0\fs22\b Helping Hand \plain\f0\fs22 Shackleton Ave, 5098\plain\f0\fs22\b\cell\plain\f0\fs24 8281 2884\cell 8281 1608\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 9.   Largs Bay\cell\plain\f0\fs22\b Southern Cross Care \plain\f0\fs22 Kennedy Court, 5016\plain\f0\fs22\b\cell\plain\f0\fs24 8242 2985\cell 8249 9617\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 10. Modbury\cell\plain\f0\fs22\b Salvation Army HealthLink \plain\f0\fs22 138 Reservoir Rd, 5092\cell\plain\f0\fs24 8264 8300\cell 8264 0133\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 11. Myrtle Bank\cell\plain\f0\fs22\b Southern Cross Care \plain\f0\fs22 18 Cross Rd, 5064\plain\f0\fs22\b\cell\plain\f0\fs24 8379 9755\cell 8338 6790\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 12. Newton\cell\plain\f0\fs22\b ACH \plain\f0\fs22 163 Montacute Rd, 5074\plain\f0\fs22\b\cell\plain\f0\fs24 8360 9433\cell 8357 3255\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 13. Nth Adelaide\cell\plain\f0\fs22\b Helping Hand \plain\f0\fs22 49 Buxton St, 5006\plain\f0\fs22\b\cell\plain\f0\fs24 8281 2884\cell 8281 1608\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 14. Nth Plympton\cell\plain\f0\fs22\b Southern Cross Care \plain\f0\fs22 342 Marion Rd, 5037\plain\f0\fs22\b\cell\plain\f0\fs24 8179 6825\cell 8297 7615\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 15. Paradise\cell\plain\f0\fs22\b Resthaven \plain\f0\fs22 61 Silkes Rd, 5075\plain\f0\fs22\b\cell\plain\f0\fs24 8337 4371\cell 8336 9952\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 16. Payneham\cell\plain\f0\fs22\b Life Care \plain\f0\fs22 Wellington Centre, 2 Portrush Rd, 5070\plain\f0\fs22\b\cell\plain\f0\fs24 8336 2488\cell 8336 2788\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 17. Ridgehaven\cell\plain\f0\fs22\b Masonic Homes \plain\f0\fs22 33\plain\f0\fs22\b  \plain\f0\fs22 Golden Grove Rd, 5092\cell\plain\f0\fs24 8375 1525\cell 8375 1515\cell\intbl\row\pard\trowd\trgaph108\trleft0\trpaddl108\trpaddt0\trpaddr108\trpaddb0\trpaddfl3\trpaddft3\trpaddfr3\trpaddfb3\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\clcbpat5\cellx2340\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx7581\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx8976\clvertalt\clbrdrl\brdrs\brdrw15\clbrdrt\brdrs\brdrw15\clbrdrr\brdrs\brdrw15\clbrdrb\brdrs\brdrw15\cellx10386\pard\widctlpar\intbl\pard\s16\intbl\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs24\b 18. Salisbury\cell\plain\f0\fs22\b Helping Hand \plain\f0\fs22 3 Church St, 5108 \plain\f0\fs22\b\cell\plain\f0\fs24 8281 2884\cell 8281 1608\cell\intbl\row\pard\pard\tx567\tx1134\tx1701\tx2268\tx2835\tx3402\tx3969\tx4536\tx5103\tx5670\tx6237\tx6804\tx7371\par }