Chronic Condition Management

To qualify for this program you must be Aboriginal or Torres Strait Islander, have at least one pre-existing chronic condition and have a GP Management Plan (GPCCMP) and a current 715 Aboriginal and Torres Strait Islander Health Check formulated by your GP.

Integrated Team Care GPH flyer

What is a chronic disease?

A chronic disease is an illness that can last six months or more and has impact on your everyday life.

Example of chronic conditions include:

• diabetes (sugar levels in the blood)
• heart disease (for example high blood pressure)
• lung disease (for example asthma)
• kidney disease
• cancer

Area this services covers

The Integrated Team Care Program is available in the Cooma, Eden, Goulburn, Queanbeyan, Bega, Eurobodalla, Shoalhaven, Illawarra, ACT, and Sydney North regions.

This program operates a Centralised Referral and Intake

Practices using Healthlink in Best Practice software should send referrals using the ITC referral template.

Available at

• Batemans Bay Aboriginal Health

  • Unit 14, 9-11Orient Street, Batemans Bay, 2536, NSW
  • PO Box 1313, Batemans Bay, NSW 2536
  • Phone 02 4474 9900
  • Fax 02 4474 9988

• Grand Pacific Health Bega

  • Rooftop Level, Bega Village, Unit 1, 83 Upper Street, Bega, 2550, NSW
  • PO Box 513 Bega NSW 2550
  • Phone 02 6494 8800
  • Fax 02 6494 8855

• Grand Pacific Health Cooma

  • 61 Massie Street, Cooma, 2630, NSW
  • PO Box 4 Cooma NSW 2630
  • Phone 02 6453 4400
  • Fax 02 6453 4414

• Grand Pacific Health Eden

  • Unit 3, 161 Imlay Street, Eden, 2551, NSW
  • PO Box 513 Bega NSW 2550
  • Phone 02 6494 8800
  • Fax 02 6494 8855

• Grand Pacific Health Goulburn

  • 13-17 Verner Street, Goulburn, 2580, NSW
  • PO Box 322 Goulburn NSW 2580
  • Phone 02 4824 4900
  • Fax 02 4824 4990

• Grand Pacific Health Nowra

  • 107 Scenic Drive, Nowra, 2541, NSW
  • PO Box 516 Nowra NSW 2541
  • Phone (02) 4448 2255
  • Fax (02) 4448 2288
  • Email info@gphnowra.org.au

• Grand Pacific Health Queanbeyan

  • 34 Lowe Street, Queanbeyan, 2620, NSW
  • PO Box 1204 Fyshwick ACT 2609
  • Phone 02 6298 2900
  • Fax 02 6298 2982

• Grand Pacific Health Wollongong

  • Suite 1, Ground Floor, 336 Keira Street, Wollongong, 2500, NSW
  • PO Box 1198 Wollongong NSW 2500
  • Phone 1800 228 987

• headspace Eden

  • Unit 3, 161 Imlay Street, Eden, 2551, NSW

• headspace Goulburn

  • 13-17 Verner Street, Goulburn, 2580, NSW
  • Phone 02 4824 4944
  • Fax 02 4824 4994
  • Website https://headspace.org.au/headspace-centres/goulburn/

• headspace Tuggeranong

  • Level 1 167 Soward Way, Greenway, 2900, ACT
  • PO Box 1662 Tuggeranong DC Greenway ACT 2901
  • Phone 02 6298 2920
  • Fax 02 6298 2921
  • Website https://headspace.org.au/headspace-centres/tuggeranong/

• Medicare Mental Health Centre Moruya

  • 9/73 Vulcan Street, Moruya, 2537, NSW
  • Phone 0244748500