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Referral: Heroic PTSD Programs

This form submits a referral for the selected program(s). Confirmation of submission will be sent to both the patient and back to you as the referrer.

Where insurer funding is nominated, a funding request together with the referral details and clinical indicators will also be sent to the nominated case manager.

Referrer Details

Referrer Profession

Patient Details

Program Selection

These programs are psychoeducational and skills-based.

Patients are expected to develop increased insight into their condition and become aware of skills, strategies, and treatment options they had not previously considered.

Program Selection

Clinically appropriate

Clinically appropriate

Risk

Risk
The programs do not involve exposure therapy, trauma processing, or emotionally activating trauma work. They are orienting and skills-based in nature and are unlikely to elevate clinical risk.

Funding Pathway

Where insurer payment is nominated below, a funding request together with your program referral and clinical indicators will be sent to the case manager.
Funding Pathway
A
B
C
D
The introductory lessons can be reviewed at no cost to the patient.
By submitting this form, you consent to the referral being lodged and the associated communications being sent to the patient and, where applicable, the nominated case manager.