For health professionals

Medical information is required to support referrals to Ngamai Wilam. It ensures we have a comprehensive and up-to-date clinical picture to safely and appropriately assess whether we are the right program for the person applying.

The Ngamai Wilam GP Medical Report form below captures key medical information. Please note, this information can be presented in whatever format is most convenient for you, this form does not have to be used. However, we cannot proceed with the referral unless all the information in the form is provided.