General Practice and COVID 19
We would appreciate you completing this survey so that we can assist you in managing this pandemic.

The PHN is seeking data on your current situation in regarding to COVID 19.

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* 1. Practice Name

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* 2. Do you have adequate infection control measures in place to see patients with respiratory symptoms?

Yes

No

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* 3. Do you have adequate PPE to see patients with respiratory symptoms?

Yes

No

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* 4. Do you have an isolation room set up at your practice?

Yes

No

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* 5. Is your practice currently accepting appointments for patients with respiratory symptoms?

Yes

No

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* 6. If No, do you have a local point of referral? Please provide details:

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* 7. If Yes, How many respiratory consults are you seeing a day?

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* 8. Do you have a local process for managing respiratory patients?

Yes

No

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* 9. If yes please provide details:

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* 10. Any further comments

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Thankyou for taking time to complete this survey!

<div style="text-align: center;">Thankyou for taking time to complete this survey!</div>