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or call (08) 8230 6900
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  • (08) 8230 6900
    (08) 8362 9716
  • 337 Payneham Rd
    Marden SA 5070
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      • Skin Wise Healthcare
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  • Contact
  • Home
  • About
  • Our Team +

    • Independent General Practitioners
    • Medical Specialists
    • Allied Health
    • Nurses
    • GP Registrars & Medical Students
    • Staff
  • Services +

    • GP Services
      • Family Medicine
      • Preventative Care
      • Women’s Health
      • Men’s Health
      • Children’s Health
      • Minor Procedures
      • Chronic Disease Management
      • Health Assessments
      • Mental Health
      • Pregnancy Care
      • Immunisations
    • Clinics

      • Skin Wise Healthcare
      • Cervical Screening Clinic
      • Obstetric Shared Care Clinic
      • Iron Infusions Clinic
      • Aclasta Infusion Clinic
    • Allied Health

      • Podiatry
      • Physiotherapy
      • Pharmacy
    • Pathology
  • Information +

    • News
    • Patient Information
    • New Patients
    • Forms and Questionnaires
    • Patient Confidentiality
    • MyMedicare
    • Employment
    • Health Resources
    • Harassment Policy
  • Fees
  • Contact
 

Forms and Questionnaires

General Health

  • Advanced Care Directives
  • Application for transport assistance
  • Application for a disability parking permit
  • Continence aids payment scheme CAPS form 
  • Medic alert bracelet form
  • Personal Alert SA subsidy form
  • Drivers licence medical form

Anaphylaxis

  • Action Plan

Dermatology

  • Eczema action plan

Respiratory and sleep

  • Epworth Sleepiness Scale
  • STOP BANG Questionnaire
  • Restless legs
  • Asthma action plan for school

Mental health

  • CAGE Substance Abuse Screening Tool
  • DASS 21
  • K10 Anxiety and Depression checklist
  • Eating disorder examination questionnaire*
  • ADHD screening form

Men’s health

  • International prostate symptom score (IPSS)

Women’s health

  • The Edinburgh Postnatal Depression Scale
  • Menopause Symptoms Scale

East Adelaide Health Care Logo

  • 337 Payneham Rd
    Marden SA 5070
  • (08) 8230 6900
  • (08) 8362 9716
  • In an emergency, call 000.
A Fully Accredited Practice

East Adelaide Health Care Marden is a proudly accredited practice which aligns with all the standards set by the RACGP and Government. We are committed to high quality services and safe practices and strive to continuously improve in all areas. EAHC Marden values its partnerships with Adelaide University and RACGP as a teaching practice.

Illustration of the clinic building exterior.

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