This service is aimed at clients with early stage chronic disease or risk factors for the development of chronic disease. The Health Coach will work in partnership with the client, family/carer, doctor and other health professionals to support the management of the client's health condition and improve general health and wellbeing. The program operates from a self-management model, whereby the client will be encouraged to make decisions about their health and lifestyle as well as set goals for improvement. The health coach provides support and assistance to make behaviour changes to achieve these goals as well as considering referrals to other services and provide general information about managing health conditions and risk factors.

Caroline Springs Community Health Centre

Djerriwarrh Health Services provides a wide range of acute, residential and primary care services to people in Melton and Moorabool Shires.

Community health services available at Caroline Springs include podiatry, dietetics, diabetes education, physiotherapy, speech pathology, financial counselling.

Kings Park Medical Centre - Hillside

Services include General Practice/GP (doctors), the only medical centre that boast a unique Japanese Garden,providing a tranquil atmosphere that can be enjoyed by patients, staff and visitors alike.
Allied Services onsite: Dental Surgery,Pharmacy, Pathology Collection, Psychology, Podiatry, Diabetic Educator, Dietician, Occupational Therapy/Acupuncture, Exercise Physiology

IPC Health - Deer Park

Bulk billing Chronic Disease Management nurse.

TLC Primary Care - Altona North

Exercise For Rehabilitation And Health

The Chronic Conditions Management program is available to those in the community who require an exercise based rehabilitation program for lung and cardiac conditions. The Cardiac and Pulmonary Rehabilitation groups are run under best practice guidelines set down by the National Heart Foundation and Australian Lung Foundation. They provide education and exercise sessions for patients with pulmonary disease and for Outpatient (Phase 2) and Maintenance (Phase 3) patients. All patients access this program will be assessed by a physiotherapist or exercise physiologist prior to entry into the group programs.

Melton Health

Melton Health & Community Services

Djerriwarrh Health Services provides a wide range of acute, residential and primary care services to people in Melton and Moorabool Shires.

Community health services include allied health, community health nursing, podiatry, dietetics, occupational therapy, and counselling.

The aim of the program is to ensure clients, who frequently present to the Royal Melbourne Hospital, are adequately receiving their care needs in the community. It is designed to ensure people receive the right care in the right place. HARP CDM is an interim service which completes a comprehensive care needs assessment, and specialist assessment where required, and develops a care plan with the client and family as to how their care needs are best met. This often involves linking with other community services, liaising with other family members, health care professionals and doctors. 

HARP CDM represents a partnership between Melbourne Health (including the Royal Melbourne Hospital), Doutta Galla Community Health Service (DGCHS), Moreland Community Health Service (MCHS), Royal District Nursing Service (RDNS), and the Melbourne General Practice Network (MGPN).

The HARP CDM Program comprises of various service components including a central intake, Heartwise (chronic heart disease service), Melbourne Easy Breathers (chronic respiratory service), and Medication Management Service, Asthma educator, Cardiac Coach, Falls Prevention, generic & psychosocial intensive service co-ordination, Diabetes foot service and Diabetes co-management service. 


Clients are allocated to a key worker within the service area most appropriate to their needs. Services are provided in clients' homes, general practices and on the campuses of the partnership agencies. 
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Merri Health - Coburg

Please note this service is limited to students and staff of the University of Melbourne.

Fax number: 03 9347 6684


The University of Melbourne - Health Service

Bacchus Marsh Community Health Centre

Djerriwarrh Health Services provides a wide range of acute, residential and primary care services to people in Melton and Moorabool Shires.
Community health services available at Bacchus Marsh include podiatry, dietetics, diabetes education, health coaching, physiotherapy, speech pathology, and counselling.

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Chronic disease management in Caroline Springs

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Caroline Springs Community Health Centre