The SCTT 2012 forms are available in Adobe Acrobat PDF and interactive MS Word. The most efficient way for service providers to use SCTT 2012 in an electronic format is to incorporate the templates into their information management system. If you are a service provider, your software vendor can advise on how to embed SCTT in your system.
Tool templates - other templates
Single page screener of health and social needs - Service provider administered
doc 70.5 KB
Single page screener of health and social needs - Service provider administered
pdf 49.21 KB
Single page screener of health and social needs - Consumer administered
doc 219 KB
Single page screener of health and social needs - Consumer administered
pdf 49.73 KB
Need for assistance with activities of daily living
doc 206.5 KB
Need for assistance with activities of daily living
pdf 32.02 KB
Accommodation and safety arrangements
doc 216.5 KB
Accommodation and safety arrangements
pdf 39.65 KB
Health and chronic conditions
pdf 93.07 KB
Health and chronic conditions
doc 253.5 KB
Social and emotional wellbeing
doc 253.5 KB
Social and emotional wellbeing
pdf 33.39 KB
Care relationship, family and social network
doc 298.5 KB
Care relationship, family and social network
pdf 32.87 KB
Alcohol, smoking and substance involvement screening (ASSIST)
doc 551.5 KB
Alcohol, smoking and substance involvement screening (ASSIST)
pdf 48.07 KB
Functional Assessment Summary
doc 326.5 KB
Functional Assessment Summary
pdf 46.47 KB
Palliative care supplementary information
doc 298 KB
Palliative care supplementary information
pdf 50.41 KB
Information exchange summary
doc 251 KB
Information exchange summary
pdf 32.43 KB
Shared support plan
doc 299 KB
Shared support plan
pdf 41.37 KB
Ambulance Victoria referral
doc 162.5 KB
Ambulance Victoria referral
pdf 35.65 KB
PAV Assessment record 2012
doc 250 KB
PAV Assessment record 2012
pdf 406.84 KB
Tool templates - core referral templates
Consumer information
doc 291 KB
Consent to share information
doc 87.51 KB
Reviewed 05 January 2023
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More information
- SCTT online learning module SCTT online module is an e-learning tool to support the use of the SCTT.
- Service coordination online module An e-learning module about service coordination practice.