Health Forms
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This collection comprises of NT Health forms that have been made available to the public. Please note that this collection will soon be phased out as forms are moved to the main NT Health website.
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Technical Report Biting insect survey and assessment, Blacktip Project, supplementary trapping, September 2004(Medical Entomology, DHCS, 2005-03-10) ;Warchot AWhelan PIAs part of the biting insect assessment for the Blacktip Project, traps were required to be set during the peak pest biting midge season months of either August, September, October or November. The month of September was to sample peak season numbers of the main human pest biting midge in coastal areas of Northern Australia, Culicoides ornatus. Peak abundance of C. ornatus occurs around the time of the full moon each month, with numbers generally elevated over a four-five day period. Numbers of C. ornatus can vary dramatically over this four-five day period, although previous studies have shown highest numbers generally occur one day before the full moon and on the day of the full moon. To define the peak numbers of C. ornatus in September, trapping was proposed to occur over a three day period around the full moon, which was to include trapping one night before the full moon, the night of the full moon, and the night after the full moon. This trapping was also likely to indicate peak mosquito numbers for this month, with the exception of Ochlerotatus vigilax, which generally occur 10 days after the monthly high tide. The ensuing report discusses the new findings and recommendations derived from the September 2004 trapping period, and is to be used as a supplement to the Biting Insect Survey and Assessment report for the Blacktip Project, which was produced in July 2004. The new findings provided in this report can supersede the equivalent findings in the July 2004 report.3290 278 - Publication
Technical Report Mosquito investigation Wagait Beach 14th to 15th January 2015(Medical Entomology, DoH, 2015-07)Warchot, AllanMedical Entomology received a mosquito enquiry from Wagait Shire Council on the 9th of January 2015. The complaint was received around the time of high salt marsh mosquito (Aedes vigilax) numbers in the Darwin Northern Suburbs, and when other areas of the Top End coastline were most likely also experiencing similar mosquito problems. Aedes vigilax has a very long flight range, and thus during major early wet season rainfall events, much of the NT coastline is likely to experience seasonal problems. However, in light of a lack of recent mosquito data from Wagait Beach, a mosquito investigation was carried out on the 14th-15th of January 2015, to determine which mosquito species was the causing the problem, the levels of mosquitoes compared to the most affected suburbs in Darwin, and the likely sources of the problem mosquitoes.2473 809 - Publication
Working Paper Pharmacy Premises Committee of the Northern Territory forms(Deparment of Health, 2016)Department of Health3016 1951 - Publication
Guideline Pharmacy Premises Committee of the Northern Territory complaint guide and form(2012)Department of Health1199 481 - Publication
Guideline Guidelines for the Control of Tuberculosis in the Northern Territory(Northern Territory Dept. of Health, 2016-05)Centre for Disease ControlThis document has been written to guide health professionals in their diagnosis, treatment and management of tuberculosis. It also explains the measures which the NT, Centre for Disease Control has put in place to facilitate the control of tuberculosis and backgound epidemiology. Chapter headings include diagnosis of TB, Infection control, Treatment of tuberculosis, BCG vaccine, latent tuberculosis infection – diagnosis, treatment of latent tuberculosis infection, contact tracing, community screening and screening in special groups.8395 20441 - Publication
Form Possess and Use a Schedule 7 Substance Application Form(Department of Health, 2016)Medicines & Poisons Control5320 1531 - Publication
Form Retailer Licence, Wholesaler Certificate of Registration, Manufacturer Certificate of Registration Application Form(Department of Health, 2016)Medicines & Poisons ControlApplication form retailer Wholesale and manufacturers.3767 1976 - Publication
Form Possess Scheduled Medicines in a DoH Emergency Medical Kit Application Form(Department of Health, 2016)Medicines & Poisons Control6312 2160 - Publication
Form Possess Scheduled Medicines in a Medical Kit Application Form(Department of Health, 2016)Medicines & Poisons Control4062 1231 - Publication
Form Possess and Use a Schedule 4 or 8 Substance Application Form(Department of Health, 2016)Medicines & Poisons Control3648 1957 - Publication
Form Northern Territory Disability Scholarships Program application form(Department of Health, 2016)Department of HealthThe Office of Disability welcomes applications for the Northern Territory Disability Scholarships Program.2346 393 - Publication
Form Royal Darwin Hospital car parking infringement appeal(Department of Health, 2016)Department of HealthForm for appealing a parking infringement fine at Royal Darwin Hospital.3112 668 - Publication
Sticker 4122 1047 - Publication
Form Varicella (chickenpox) vaccination year 8 students consent form(Department of Health, 2017)Department of Health3064 245 - Publication
Form Rheumatic Heart Disease Register access application form(Department of Health, 2016)Department of HealthThe Northern Territory Government collects and safeguards client/patient data in accordance with the NT Information Act. All personal information collected in the provision of a health service is considered to be ‘health information’ or ‘sensitive information’ under the NT Information Act.6839 1963 - Publication
Form 3397 286 - Publication
Form 6915 3711 - Publication
Guideline 3897 990 - Publication
Form 13635 2715