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.

How to connect to the service

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.

Integrated Team Care GPH flyer

This program operates a Centralised Referral and Intake

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

Healthlinkgphs8uth

 

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

  • 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

  • headspace Tuggeranong

  • Macquarie Park Centre

    • 68 Waterloo Road, Macquarie Park, 2113, NSW. Co-located at Relationships
    • Phone 1800 879 096

  • Medicare Mental Health Centre Moruya

  • Northern Beaches Centre

    • Level 1/651 Pittwater Road, Dee Why, 2099, NSW
    • Phone 1800 879 096

Referrals

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 (GPMP) formulated by your GP. Your GP must also be signed up to PIP IHI in order to refer you.

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