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Request Psychiatric Assessment & DVA Report (by Dr Al Griskaitis)

Use this form to request a veteran psychiatric assessment with Dr Al Griskaitis.

All assessments include psychiatric diagnostic clarification and management-plan recommendations intended for implementation in primary care by the veteran’s GP.

Veterans may also need a DVA Initial Liability report to support a claim. Please indicate below whether a report is also being requested.

This is a non-urgent referral pathway. It is not for crisis care, acute risk, or emergency mental health concerns.

Person submitting this request

Organisation / service

Email of Person submitting this request

Veteran first name

Veteran surname

Veteran email address

Veteran phone number

Veteran state

DVA number

GP name

GP clinic/contact

What is being requested?

A
B

Brief notes

Please include any brief context that may help us understand the request.

Upload GP referral

Acknowledgement