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Interstate Transfer Form

If you are working with a newly arrived humanitarian entrant who is moving to another State or Territory and would like to inform the Refugee Health Service in that area of the individual/ family’s arrival so they can be linked for ongoing care, please click the button below to download the interstate transfer template.

Please ensure that you complete as much information as you are able to enable appropriate linking as models of care and periods of patient engagement may vary between Refugee Health Services.


Click here to download the Interstate Transfer Form