Chronic Health Management and Care Plan Clinics

All Point Lonsdale Medical Group doctors, in conjunction with our Care Plan Nurses, provide GP Management Plans and Team Care Arrangements for patients with chronic medical conditions. They form a framework for agreeing on management goals with individual patients and identifying actions to be taken by patients. These goals are then reviewed with the patient each 3 to 6 months.


When a GP Management Plan and Team Care Arrangement is in place, patients with chronic diseases can then be referred to Allied Health Providers. Eligible services include:


  • osteopaths,

  • physiotherapist,

  • podiatrists,

  • dieticians

  • exercise physiologist

  • audiologist

  • occupational therapist

  • chiropractors

  • aboriginal health workers

  • mental health workers

  • psychologist

  • diabetes educators

  • speech therapists



These Enhanced Primary Care (EPC) referrals entitle patients to five Medicare subsidised sessions per calendar year. They facilitate communication between GPs, specialists and Allied Health professionals, which creates a comprehensive team to manage your condition.


Following an initial consultation with your doctor to discuss your medical condition, you will then see the Care Plan nurse to record all the relevant information to finalise your GP Management Plan and provide the government-funded referrals to allied health practitioners and specialists when required.

There is no fee for attending the Care Plan Clinic as part of the preparation of your Management Plan. 



Our Care Plan Clinic nurses also do Health Assessments for all our patients aged 75 and over either at home or at the clinic.   During the visit the nurses will discuss your general health, any medical concerns, medications you are taking and in particular any health services you may be eligible for, but may not be aware of. Annual Health Assessments are an opportunity for your doctor to explore areas of health that may not be covered in a routine consultation.

Attachment – patient guide

We also have a credentialed Diabetes Educator who works closely with the GP's managing patients with diabetes.

Note: Point Lonsdale Medical Group are able to arrange a government-funded home pharmaceutical review by an accredited Pharmacist to provide safe use of medications for our patients.


In the event of a medical emergency

call the ambulance on 000


Contact Us

Point Lonsdale Medical Group

4 Nelson Road, Point Lonsdale, Vic 3225

Phone: 03 52580888

Fax: 03 52582900


Opening Hours

Due to the Coronavirus Pandemic and the impact on the practice we have had to reduce our opening hours. We are now closing at 5:00pm Mon-Fri untill further notice.

Monday to Friday 7.30am to 5.00pm

Saturday 9.00am to 1.00pm

Sunday 10.00am to 12.00 noon

Public Holidays 9.00am to 12.00 noon

*Closed: Good Friday & Christmas Day


Phone Hours

Monday to Friday 8.30am to 5:00pm

Saturday 9.00am to 1.00pm

After Hours

Outside of our normal hours of operation, Point Lonsdale Medical Group utilises the National Home Doctor Service to provide medical attention and assistance in emergencies. Please phone 13 74 25 when an urgent after-hour’s home visit is required.

© 2015 Point Lonsdale Medical Group