Welcome to Family Nurture
Work through all 7 modules below, watch the MediRecords video walkthrough, then complete the knowledge quiz to earn your induction sign-off.
01 · Clinic Guidelines
Consent, file updates, confidentiality, cancellation policy, phone calls
02 · Patient Management
Referral intake, bookings, arrivals, tasks, NDIS guidelines
03 · MediRecords
Adding patients, referrals, HOF, appointments, chat system
04 · Assessments
IQ, Cognitive, ADHD, ASD, OT & Speech — referral types, sessions, booking rules
05 · Payments & Billing
Fee schedules, Tyro, invoicing, Medicare, bulk billing, NDIS
06 · Banking & EOD
Tyro reconciliation, financial reports, Medicare batching
07 · Communications
Email, MediRecords chat, medical records, letters, NDIS applications
Before You Begin
- Read each module carefully — all content is tested in the quiz
- Watch the MediRecords video walkthrough for visual step-by-step guidance
- Refer to the Clinician Live Document on your computer for practitioner-specific details
- Locate the current Fee & Item Numbers sheet near the computers — fees are not listed in this document
- Bookmark: familynurture.com.au/referral-appointment/cancellation-non-attendance/
Module 1: Clinic Guidelines & Standards
Consent Form Process
- 1Send Before Booking Email registration & consent form to patient/family BEFORE offering an appointment. Collect email addresses during the referral process.
- 2Review Returned Form All admin staff must review the form. Every field must be complete and accurate — do not accept incomplete forms.
- 3Enter All Details Enter all demographics, interested parties, and Medicare information accurately into the patient file in MediRecords.
- 4Check for Legal Orders Check for court orders or child safety concerns. Verify whether the consenting parent has sole parental responsibility.
- 5Dual Consent if Needed If no sole parental responsibility — obtain a completed consent form from the OTHER parent before proceeding.
- 6Upload to File Consent tab in MediRecords → upload signed form → name it "Family Nurture Consent".
- 7Create HOF File For ALL minor patients — create a Head of Family (HOF) file for the parent/guardian and link it to the child's record.
File Update — Every Arrival
What to verify
- Current address
- Phone number (mobile, home, work)
- Interested parties / contacts
- Consent form is current and signed
- Medicare details entered & OPV run
- Photo on file
Then
Add a clinical note: "File updated [today's date]"
Only after this step move the patient to the Waiting Room in MediRecords → Save.
Confidentiality — Golden Rule
Schools / Caseworkers / Other Clinics
- Must have SIGNED written consent on file before sharing anything
- No consent → politely decline: "I'm unable to share information without written consent from the family"
- Ask them to provide written consent before calling back
Parents / Family Members
- Confirm the caller is listed as an interested party in the patient file
- Patients aged 14+: the patient must consent to parents receiving information
- For minors: confirm HOF/parental authority first
Urgent / Emergency Calls
- Verify consent → access patient file → check last interaction and last appointment date
- If life-threatening (child missing, medication crisis, safety risk): direct to 000 or Emergency Department immediately
- Document ALL urgent calls in 'Today's Notes' in MediRecords
Phone Calls — Key Rules
All Incoming Calls
- All receptionists share call responsibility equally
- Work as a team — you can place a caller on hold
- Use a calm, professional tone at all times
- Never promise clinical advice — refer to clinical staff
- If unsure, speak with your team lead before responding
Every Booking Call Must Cover
- Confirm full name and date of birth
- State the appointment cost clearly
- Advise the cancellation policy for their appointment type
- Explain they must confirm via the SMS link
- Restate the date and time at end of call
Cancellation Policy & SMS Confirmation
| Appointment Type | Notice Required |
|---|---|
| New Psychiatrist / Assessments | 4 full business days |
| Allied Health — Initial Consultation | 2 full business days |
| All Other Follow-Up Appointments | 2 full business days |
- SMS confirmation sent 7 business days before (select "SMS Instant" if booked within 7 business days)
- If unconfirmed 3 days before → call the patient
- No response next day → send another text with a 1-hour window to respond
- Still no response → cancel and apply cancellation fee
- Patients cannot reply to the SMS — phone calls only
Daily Clinic Responsibilities
Clinic Cleanliness
- Bathrooms checked and cleaned multiple times daily
- Waiting room kept tidy and welcoming at all times
- Kitchen kept clean throughout the day
- Responsibility shared equally by ALL admin staff
Bulk Billing / Discounted Fees
- Always inform the patient: "Dr [name] has kindly requested to reduce your fee today"
- State both the regular fee AND the reduced fee
- This ensures transparency — not standard practice in private clinics
- Never process without explaining to the patient
Module 2: Patient Management
Referral Intake — Full Process
- 1Receive Referral Upload to Referral section of MediRecords. Tick the correspondence box. For Medical Objects referrals, use the MediRecords messaging system — no manual upload needed. Search for provider by number; add as a contact if not found.
- 2Create Patient File Enter all demographic details. Assign a task to the appropriate practitioner for approval. Follow specific practitioner instructions (SR = School Report, DR = Diagnostic Report).
- 3Send Consent Form Collect the patient/family email address. Send the registration & consent form. Wait for it to be returned with ALL sections complete before proceeding.
- 4Process Returned Consent Enter all details. Create HOF file if the patient is a minor. Check for Medicolegal matters — gather court orders and other parent's consent if no sole parental responsibility. Update task: "PB back [today's date]".
- 5Intake Contact Intake-trained staff contact the family to book. Follow the task directions. If no answer — send a text. Note the contact attempt; set the task review for 2 weeks later.
- 6No Response Protocol If no response after 2 weeks, send a No-Booking Letter via MediRecords. From: Practitioner, To: Referrer. Subject: "No Booking Letter". Send via letter header.
Psychiatrist Referral Requirements
GP Referrals
- New patients: valid 12 months from first use
- Follow-up: valid 12 months from date of referral
- Enter BOTH initial and follow-up dates accurately in MediRecords
- Can be addressed to "the psychiatrist @ Family Nurture"
Specialist-to-Specialist
- Valid for 3 months from the initial appointment date only
- Monitor expiry dates carefully
- Advise patients when a new referral is required
- Must include: clinical info, date, signature, and provider number
Allied Health Referral Requirements
| Discipline | Accepted Referral Types | Key Notes |
|---|---|---|
| Psychologist | MHCP, EDP, TCA, Private, NDIS | Up to 10 sessions/year under MHCP. Check session count before each invoice. |
| Occupational Therapist | TCA, MHCP, Private, NDIS | NDIS OT assessments require NDIS Goals. FCAs charged separately. |
| Speech Pathologist | TCA, MHCP, Private, NDIS | TCA must specify speech pathology services. |
| Mental Health Social Worker | MHCP only | MHCP must explicitly name "Mental Health Social Worker". |
| Dietitian | MHCP, TCA, Private, NDIS | Referral must specify dietitian services. |
NDIS Guidelines
Accepted NDIS Plans
- Self-managed: patient pays, takes receipt, claims reimbursement
- Plan-managed: patient pays, takes receipt to their plan manager
- Both types: patient pays at time of appointment
- NDIS Goals must be on file before first appointment
NOT Accepted
- Agency-managed NDIS — NOT accepted
- BSB / bank transfer payments — NOT accepted
- Invoices sent directly to NDIA — NOT accepted
- Any third-party payment arrangement for NDIS
Task Management
3 Ways to Create a Task
- Clipboard icon → Tasks → New Task
- Patient Record → Activities → Tasks → New Task
- Quick Links bar → click "+ Task"
Completing a Task
- Patient Record → Clinical Actions → Tasks/Work Lists
- Tick the box next to the task → confirm status changes
- Always update task notes before closing (e.g. "PB back")
Module 3: MediRecords Core Operations
- 1Shortcuts ToolbarClick +Patient to open the new patient form.
- 2DemographicsFill all mandatory fields. Add Preferred Pronouns if known (He/Him, She/Her, They/Them) — displays in the patient header.
- 3Navigate SectionsClick Next through: Social → Family History → Settings → Additional.
- 4Settings — MedicareEnter Medicare card number, IRN, and expiry. Run OPV (Online Patient Verification) to confirm validity.
- 5Additional DetailsAdd alert flags, health notes, or NDIS number as relevant.
- 6SaveClick Save to create the record.
- 7Upload Consent FormConsent tab → upload signed form → name it "Family Nurture Consent". Must be done before first appointment.
- 1Open Patient RecordSearch and open the patient's file.
- 2Referral Tab → Blue + ButtonOpens a new referral form. Upload PDF, JPEG, or PNG under 10 MB.
- 3DateEnter the date the referral was written by the referring practitioner — not today's date unless issued today.
- 4First Use DateLeave blank — it auto-populates at the time of the first appointment.
- 5Referred BySearch by provider number. If not in the system, add them first under Resources → Contacts.
- 6Referred ToChoose the correct practitioner from the active users list.
- 7Type of ReferralSelect type — this auto-generates an expiry date once First Use Date populates.
- 8⚠ NEVER tick ConfidentialTicking Confidential hides the referral from the treating practitioner.
- 9Add to CorrespondenceAlways click "Add to Correspondence" before saving. This is mandatory.
Creating a Head of Family (HOF)
Required for ALL patients under 18.
- 1Create a new patient file for the parent/guardian — enter all details, Medicare, and run OPV
- 2Go to the child's file → Demographics → Family tab
- 3Click Add (+) → search for the parent
- 4Select the correct relationship (Mother/Father/Grandparent etc.)
- 5Tick "Make HOF" → confirm the link is saved
Arriving a Patient
- 1Click Appointments → today's list
- 2Ask who they are seeing and confirm name
- 3Open patient file — complete full file update checklist (address, phone, interested parties (these need to be checked also), consent, Medicare/OPV, photo)
- 4Add note: "File updated [date]"
- 5Return to appointment → Move to Waiting Room → Save
3 Ways to Book
- Click +Appointment in the Quick Links bar
- Appointments tab → New Appointment
- Click directly on a timeslot in the calendar
Searching for a Patient
- Search by Last, First name (comma-separated improves accuracy)
- Or search by DOB, address, gender, age, or phone number
Appointment Settings
- Select the correct appointment type for the practitioner's qualification
- Label accurately: e.g. "New Psychiatrist", "Psychology Follow-Up"
- SMS: booked >7 business days out → set to send 7 business days before
- SMS: booked within 7 business days → select "SMS Instant"
- New psychiatrist: note $300 deposit requirement and confirm payment
Checking Follow-Ups
- Appointments screen → type patient name in the search box
- Screen switches to Agenda view — select all date ranges and providers
- Hover over any appointment for a quick info popup
How Psychiatrists Use Chat
- Send billing item numbers after each appointment
- Send follow-up requests and instructions for admin
- Ask admin to take specific actions (send a letter, book follow-up)
- Do NOT email practitioners — use MediRecords chat
Admin Chat Management
- Monitor all chat groups throughout the day
- Take action on every patient and practitioner message
- For admin-only replies: change the group name to "Admin" to remove the practitioner
- Applies when rescheduling, confirming payment, or handling non-clinical matters
Module 4: Assessments & Bookings
Psychology Assessments — Overview
| Assessment Name | Referral | What's Included |
|---|---|---|
| Only IQ Assessment (WISC / WPPSI-IV / WAIS — age dependent) | No referral | 2 hours of testing only |
| Cognitive Assessment | MHCP (parent session & feedback — not for AX) | 1hr parent interview + 2hrs testing + 1hr feedback |
| Learning Disorder Assessment | CND | 1hr parent interview + 2hrs WISC/WPPSI/WAIS + 2.5hrs WIAT + 1hr feedback |
| Test of Dyslexia (TOD) | MHCP (parent session & feedback — not for AX) | 1hr parent interview + 1hr TOD testing + 1hr feedback |
| ADHD Assessment | MHCP | 1hr parent interview + 1hr patient review + 1hr feedback. TOVA + Conners/BRIEFS |
| Comprehensive Educational Assessment (ADHD, Learning & Emotional/Behavioural) | MHCP + CND | 1hr parent + 1hr patient + 2hrs WISC + 2.5hrs WIAT + 1hr feedback. TOVA + Conners/BRIEFS |
| ASD Assessment | CND | 1hr parent interview + 1hr child session + 1.5hrs ADOS-2 + 1hr feedback. SRS/ABAS/SCQ |
| Full Neurodevelopmental Disorder Assessment | CND + MHCP | 1hr parent + 2hrs WISC/WPPSI/WAIS + 2.5hrs WIAT + 1.5hrs ADOS-2 + 1hr feedback. TOVA, Conners, SRS, ABAS, SCQ |
OT & Speech Assessments
| Assessment | Referral | What's Included |
|---|---|---|
| OT Sensory Profile | TCA (GP referral) | 1hr interview + 30min feedback. Sensory profile forms completed by parent/carer before appointment. |
| OT Functional Assessment incl. Sensory Profile | TCA or CND | 1hr interview + 2hrs assessment at home or school + 1hr feedback. Sensory Profile + Vineland forms. |
| Speech and Language Assessment | TCA or CND | 1hr interview + 1.5hrs assessment + 30min feedback. Full written report and recommendations. |
IQ Testing Tools — Which Test for Which Age?
WPPSI-IV — Ages 2y 6m to 7y 7m
IQ test for young children. Measures Verbal Comprehension, Visual Spatial, Fluid Reasoning, Working Memory, and Processing Speed. Identifies giftedness, cognitive delays, or learning disabilities in early childhood.
WISC-V — Ages 6 to 16y 11m
Premier IQ test for school-age children (65–80 min). Same 5 domains as WPPSI-IV. Provides a Full Scale IQ. Used for educational planning and identifying learning disabilities.
WAIS-IV — Ages 16 to 90 years
Gold-standard adult IQ test. Measures Verbal Comprehension, Perceptual Reasoning, Working Memory, and Processing Speed. Used to diagnose intellectual disabilities, ADHD, and neuropsychological issues.
WIAT-III — Ages 4 to 50+
Academic skills assessment: reading, writing, mathematics, and oral language. Required in Learning Disorder and Comprehensive assessments. Used to identify Specific Learning Disorders and ADHD.
ASD Assessments — Special Booking & Consent Rules
3di — Book Under Parent's Name
- Computer-based standardised parent interview for diagnosing ASD
- Dr Noushin requires a 2-hour session booked with PARENTS only
- Book the appointment under the parent's name, not the child's
- 1 parent attending → book under 1 parent name
- Both parents attending → book under both parent names
- Confirm who is attending before creating the appointment
ADOS-2 — Recording Consent Required
- 'Gold standard' semi-structured assessment for diagnosing ASD
- Direct observation of communication, social interaction, and play — ~90 minutes
- This is a RECORDED session
- Recording consent form MUST be signed and on file BEFORE the session
- Children: play-based activities (bubbles, dolls, puzzles)
- Adults/fluent: structured interviews, conversation, storytelling
Multi-Session Assessment Booking Guide
Each session must be booked separately in MediRecords with the correct appointment label.
- Session 1: 1hr — Parent Interview
- Session 2: 1hr — Patient Review
- Session 3: 1hr — Feedback Session
- Additional: TOVA + Conners/BRIEFS
- Session 1: 1hr — Parent Interview
- Session 2: 1hr — Child Session
- Session 3: 1.5hrs — ADOS-2 (recording consent required)
- Session 4: 1hr — Feedback & Functional Assessment
- Additional: SRS / ABAS / SCQ forms
- Session 1: 1hr — Parent Interview
- Session 2: 2hrs — WISC/WPPSI/WAIS (age dependent)
- Session 3: 2.5hrs — WIAT-III
- Session 4: 1.5hrs — ADOS-2 (recording consent required)
- Session 5: 1hr — Feedback & Functional Assessment
- Additional: TOVA, Conners, SRS, ABAS, SCQ
Module 5: Payments & Billing
Fee Schedule by Discipline
| Discipline | Fee Types Available |
|---|---|
| Psychiatrist | MBS Custom | Bulk Billing | DNA/Short Notice (no Medicare rebate) |
| Psychologist | MBS/MHCP | NDIS (Under & Over 7) | Private Fees (Item 701) | DNA/Short Notice |
| Occupational Therapist | MBS Custom OT | NDIS (Under & Over 7) | Private OT Fees | DNA/Short Notice |
| Social Worker (MHSW) | MBS Custom | NDIS | Private — Item 100 (Initial) / Item 200 (Follow-up) | DNA/Short Notice |
| Speech Therapist | MBS Custom | NDIS (Under & Over 7) | Private Speech Fees | Item 100 | DNA/Short Notice |
| Dietitian | MBS Custom | NDIS (Under & Over 7) | Private Dietitian Fees (Item 100) | DNA/Short Notice |
Tyro — In-Clinic Payment
Steps
- 1Press Menu
- 2Select Transactions
- 3Select Payment
- 4Enter the cost
- 5Select Merchant (see guide →)
- 6Tap or insert card
Refund PIN: ask Manager or Senior Admin
Merchant Guide
- Clinical services → Clinical merchant
- Bulk billing → Medicare merchant
- NDIS & third-party → NDIS/Third-party merchant
- Forms, testing, clinic fees → Merchant 2 (no Medicare)
- DNA / Cancellation fees → Practitioner account (unless the practitioner has waived their portion of the fee — in that case Family Nurture charges $100 via Merchant 2)
Tyro — Phone (MOTO) Payment
Raising Invoices — "Bill To" Guide
| Scenario | Bill To | Notes |
|---|---|---|
| Bulk Billing | Medicare | Requires practitioner consent. Process DB4E form. |
| NDIS Patient | Patient | Include NDIS number in invoice notes. Patient takes receipt. |
| Minor (Medicare rebate) | Head of Family | HOF must be set up and linked before invoicing. |
| Private Health Fund | Patient | Patient pays in full; claims rebate directly from their fund. |
| Third-Party Payer | Other (find/create in Contacts) | Set up in Resources → Contacts → Service Providers first. Payment required 7 days before appointment. |
| Private / No Medicare | Patient | Self-pay, DNA fees, clinic fees. |
Bulk Billing — Step-by-Step
- 1Get ConsentObtain explicit consent from the practitioner to bulk bill this appointment.
- 2Gather Referral InfoCollect referrer's full name, clinic address, provider number, and referral date.
- 3Create DB4E FormPatient file → Correspondence Out → New Letter → From: Practitioner, To: Patient, Subject: "DB4E form" → Letter → Referral → DB4E form.
- 4Complete & PrintFill in all referrer fields, item number, and amount. Move practitioner's signature to the "Practitioner Use" box. Print.
- 5SignaturesPractitioner signs. Under 14: parent/guardian signs. Aged 14+: patient signs.
- 6Scan & SaveScan signed form → save in Consent section categorised by date of service. Delete any unsigned versions.
Deposits — New Psychiatrist Patients
Module 6: Banking & End-of-Day
Tyro Reconciliation
- 1Press Menu → Transactions (1) → Settlement and Reports (3) → Reconciliation Report (2) → Current (1) → Summary (1)
- 2Print summaries from both Tyro machines
- 3Add both machine totals together
- 4Write down totals per practitioner — helps isolate any discrepancies
MediRecords Financial Reports
Navigate to: More → Reporting → Financial
Banking Report
Total payment collections by payment type for the day. The EFT figure should match your combined Tyro total.
Deposit Report (Created + Allocated)
Summary of all deposits made in the period. Run alongside the Banking Report to confirm all deposits are correctly recorded.
Provider Billing Activity
Per-practitioner invoice breakdown. Includes Medicare payments — subtract Medicare to get the card-only figure for Tyro matching.
Claim Payment
Medicare and ECLIPSE payment details. View by invoice, payor, and practice.
Medicare Batching — End-of-Day
- 1Claiming DashboardGo to Claiming Dashboard → Unclaimed Amount. All unsubmitted claims appear here.
- 2Fix Red Items FirstRed items have a problem — hover the 'i' icon to see the issue (missing referral, Medicare detail error). Fix in the invoice, then resubmit.
- 3SubmitSelect claims and submit individually or as a batch at close of business.
- 4Monitor StatusSubmitted: awaiting Medicare response. Processed: accepted, check payment received. Rejected: fix and re-submit via More → Re-Submit Claim. Pending (no claim number): Medicare didn't receive it — re-submit.
- 5Accept Fully Paid ClaimsIn Progress module → identify Processed claims with $0.00 Owing → verify payment in Medicare Payments Report → Tick → Process → View Services → tick all boxes → Accept Claim.
Module 7: Communications & Admin Procedures
Email Templates Available
- New patient welcome emails
- Initial appointment confirmation emails
- Clinical information request emails
- Clinical information reply emails
- Teacher psychometric report emails
- Consent and authorisation emails
No-Booking & Cancelled Appointment Letters
- No-Booking Letter: sent when 2 weeks pass after initial contact with no consent form returned
- Process: Patient file → Correspondence Out → New Letter → From: Practitioner, To: Referrer → Subject: "No Booking Letter" → send via letter header
- Cancelled Appointment Letter: same process, Subject: "Cancelled Appointment"
Medical Record Requests
Signature Rules
- Patients aged 14+: patient signs and dates the request
- Under 14: parent or guardian signs and dates
- All sections must be complete — do not process incomplete requests
- Store completed requests in the Consent section of the patient file
What to Capture
- Outgoing: clinic name, treating practitioner, contact details
- Incoming: requesting clinic name, practitioner, contact details
Diagnosis & Medication Letters
- First: check existing correspondence — a suitable letter may already exist
- If a new letter is needed: send an internal MediRecords message to the psychiatrist
- Be specific — state exactly which letter is needed and why (e.g. "Updated diagnosis letter for school")
- Note: Anxiety may not be included if the patient has not been seen within the last 6 weeks
- Neurodiversity diagnoses are typically included regardless of last appointment date
Forms & Letters for Practitioners
- Family must complete their sections BEFORE sending the form to Family Nurture
- Specify the number of pages and complexity involved
- Practitioners require a consultation to complete any form or letter
- Recent face-to-face → telehealth may be acceptable — confirm with practitioner
- Otherwise: in-person appointment required
NDIS Applications
- Provided by the allied health professional who conducted the assessment
- Ensure all patient and family details are complete before forwarding
- If original AHP unavailable: confirm psychiatrist willingness and arrange a phone/Teams discussion
Key Policies — Quick Reference
| Policy | Rule |
|---|---|
| Psychiatrist Deposit | $300 — paid 7 business days before. Cancel if unpaid on day 7. |
| Psychiatrist Cancellation | 4 full business days notice required. |
| Allied Health & Follow-Up | 2 full business days notice required. |
| Second Waiver | First waiver fine. Second waiver → $100 charged back to Family Nurture provider. |
| SMS Confirmation | Sent 7 business days before. Call if unconfirmed 3 days out. |
| File Update on Arrival | Full checklist + "File updated [date]" BEFORE Waiting Room. |
| Consent to Speak | Always verify written consent before sharing ANY patient information. |
| NDIS | Self/plan-managed only. No agency-managed. No transfers. No psychiatrist NDIS. |
| Third-Party Payments | Must be received 7 days before appointment. |
MediRecords Video Walkthrough
Watch the complete MediRecords walkthrough before taking the Knowledge Quiz
MediRecords Video Walkthrough — Watch the full step-by-step guide before completing the Knowledge Quiz.
What the Video Covers
Knowledge Assessment
Family Nurture Administration Induction — 25 Questions