Southern Adelaide Local Health Network - Falls Prevention in SA

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Southern Area Day Therapy Centres Suburb Organisation/Street Telephone Facsimile 1. North Southern Cross Care - The Pines 8179 6825 8297 7615 Plympton 336 Marion Rd, North Plympton. South Australia, 5037 2. Myrtle Bank Southern Cross Care - Lourdes Valley 8433 0475 8388 6790 18 Cross Rd, Myrtle Bank. South Australia, 5064 3. Glenelg ACH - Therapy Services West 72 Brighton Rd, Glenelg. South Australia, 5045 8349 3515 8349 3594 (Customer service fax) 8357 3255 4. Christie Downs ACH - Health Service South 17 Elizabeth Rd, Christie Downs. South Australia, 5164 5. Morphett Vale ECH - Southern Therapy Service 126 Pimpala Rd, Morphett Vale. South Australia, 5162 6. Victor ECH - Victor Harbor Therapy Service Harbor 33 Cornhill Rd, Victor Harbor 5211 7. Marion Resthaven Community Services 43 Finnis St, Marion. South Australia, 5043 8. Glenelg Alwyndor Rehabilitation and Support Services Unit 1/3 Gordon St, Glenelg, South Australia, 5045 9. Somerton Masonic Therapy Services Park Grainger Rd, Somerton Pk. South Australia, 5044 10. Westbourne Anglicare Therapy Services Park 365 Goodwood Rd, Westbourne Pk. South Australia, 5041 8349 3515 8349 3594 (Customer service fax) 8357 3255 8322 5700 8322 2711 8551 0617 8551 0609 8296 4042 8358 3482 8177 3277 8177 3278 8375 1525 8375 1515 8229 6723 8229 6755 1 2 10 8 3 9 7 5 4 6 page 24 Falls Prevention Service Directory 2012
Strength for Life 50+ Referral Form 1. Allied health or medical practitioner to complete referral form Client Details: 2. Choose a location of SFL Program (listing overleaf) 3. Give referral form to client to book an appointment at the chosen location Name: ___________________________________________________________________________________________ Address: __________________________________________________________________________________________ Suburb: ___________________________________________ Post Code: ____________________________________ Daytime Telephone Number: __________________________ Alternative Contact Number _____________________ 1. Goals for participating in this program are: Improve Balance Increase Fitness Increase Flexibility Increase Social Contact Prevent Health Problems Increase Strenght 2. Does the client have any of the following health conditions? Respiratory conditions Diabetes Back Problems High Blood Problems Arthritis Joint Replacement Heart Disease Neurological conditions Cancer Osteoporosis Epilepsy Other: _________________ 3. Are there any precautions to participating in a SFL program? __________________________________________________________________________________________________ 4. Recommended strength training/ balance/ stretches: __________________________________________________________________________________________________ 5. Current medication? If yes, please list those that may affect client whilst exercising: Beta-blockers COPD medication Angina medication Other: ________________ Reason for Referral Name: ____________________________________________ Phone Number: ________________________________ Organisation/Facility: _______________________________________________________________________________ Address: __________________________________________________________________________________________ Suburb: ____________________________________________ Post Code: ___________________________________ General Practitioner Details (if different from referrer) Name: ____________________________________________ Phone Number: ________________________________ Organisation/Facility: _______________________________________________________________________________ Address: __________________________________________________________________________________________ Suburb: ____________________________________________ Post Code: ___________________________________ I understand that prior to commencing, my client will be prescribed a strength training program, based on the health information. Signature: __________________________________________ Date: ________________________________________
Page 1 and 2: Falls Prevention Service Directory
Page 3 and 4: A word from our General Manager The
Page 5 and 6: Access to Falls Prevention Services
Page 7 and 8: Repatriation General Hospital Falls
Page 9 and 10: Southern Area Day Therapy Centres L
Page 11 and 12: Private Hospital Day Therapy Option
Page 13 and 14: Councils in the Southern Area Counc
Page 15 and 16: Vestibular Services - Private Busin
Page 17 and 18: Continence services The listed cont
Page 19 and 20: Relevant Services in the Southern R
Page 21 and 22: Referral Forms - Southern Adelaide
Page 23: Referral Form for Day Therapy Servi
Page 27 and 28: Strength for Life Location Map 6 11
Page 29 and 30: Falls Prevention Resources 4. Fact
Page 32: For more information Southern Adela

Southern Adelaide Local Health Network - Falls Prevention in SA

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