GPs With Capacity to Support RACH Residents

Name of GP or Practice *

Practice address *

Primary contact person *

Best contact number *

Email address *

Do you have capacity to take on aged care residents? *

Yes – ongoing capacityYes – limited/short‑term capacityNo

How many additional residents can you support? *

1–56–1011–2020+

Other

Availability for new resident enrolments *

ImmediateWithin 4 weeksWithin 8 weeks

Any clinical focus or special interest areas?

Any other information to help match you with a RACH?

I consent to the PHN using the information provided for the purpose of supporting GP–RACH connection and communication.
*

Would you like to receive updates if a suitable match becomes available?
*