Chronic Disease Management – toongabbie
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Home›Services›Chronic Disease Management and Care Plans

Long-term conditions, well managed.

Diabetes, heart disease, asthma, COPD, kidney disease and arthritis need steady, coordinated care. Dr Mohammed Hossain and our GPs provide structured management plans, regular reviews and Medicare-subsidised allied health, bulk billed for Medicare card holders.

Three ways to book: HotDoc · online · or by phone.

Chronic Disease Management and Care Plans at Toongabbie Doctors
Dr Mohammed Hossain
Dr Mohammed HossainGeneral Practitioner · MBBS, FRACGP, Diploma in Dermatology

One plan, one team.

A chronic condition management plan turns good intentions into a schedule: what to check, when, and who is helping.

Nearly half of Australians live with at least one chronic condition. The difference between a condition that is controlled and one that causes complications is usually consistent, planned care. Dr Mohammed Hossain has more than thirty years in general practice and focuses on complex and chronic conditions including heart, gut and kidney disease.

Book online →What we help with

Chronic condition management plans

If you have a condition expected to last six months or more, your GP can prepare a management plan. It records your conditions, medicines, goals and the checks you need, and coordinates care with other providers. Eligible patients then receive Medicare rebates for up to five allied health visits each year, including our on-site physiotherapists and dietitian.

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Diabetes care

An annual cycle of care covering blood glucose (HbA1c), blood pressure, cholesterol, kidney function, weight, eye and foot checks, and medication review. Our dietitian Ms Anagha Chaudhari supports meal planning and weight, and your GP coordinates referrals for eye checks, podiatry and diabetes education. Type 2 diabetes prevention is also part of what we do.

Good to know

Bring your blood pressure or glucose readings from home. Trends over time tell your GP more than a single number in the clinic.

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Heart, lung, kidney and joint conditions

Blood pressure and cholesterol management, heart failure and atrial fibrillation monitoring with ECG on site, asthma and COPD with spirometry and action plans, chronic kidney disease monitoring, arthritis and chronic pain with physiotherapy support, and thyroid and other long-term conditions. We also arrange Home Medicines Reviews and coordinate with your specialists.

Conditions we manage.

Bulk billed for patients with a valid Medicare card.

What to expect.

Care plans are prepared in a long appointment and reviewed regularly, usually every three to six months.

01
Book a long appointment

Ask reception for a care plan appointment. Bring your medicines and any home readings.

02
Your plan

Your GP and nurse review your conditions, agree goals with you and set a schedule of checks and allied health visits.

03
Regular reviews

Follow-up visits, blood tests at 4Cyte on site and telehealth check-ins keep the plan current.

Bring with youMedicare cardAll medicines or a current listHome blood pressure or glucose readingsSpecialist letters

Who you'll see.

Dr Hossain focuses on chronic and complex conditions; all our GPs prepare and review care plans.

Focuses on this area
Dr Mohammed Hossain
General Practitioner
Dr Mohammed Hossain
MBBS, FRACGP, Diploma in Dermatology

Chronic and complex conditions, heart, gut and kidney health, weight management.

Available Mon · Wed
Focuses on this area
Dr Mustafa Hafiz
General Practitioner · Medical Director
Dr Mustafa Hafiz
MChD, FRACGP

Skin cancer checks and minor procedures, men's health, mental health and family medicine.

Available Mon · Tue · Wed · Fri · Sun
Focuses on this area
Dr Zainab Shirazi
General Practitioner
Dr Zainab Shirazi
Diploma in Dermatology

Women's health, children's health and skin conditions.

Available Mon · Tue · Wed · Fri · Sat
Dr Robert Reid
General Practitioner
Dr Robert Reid
MBBS · In general practice since 1980

Mental health, chronic illness, disability care and general family medicine.

Available Ask reception

Fees and bulk billing.

Care plans, reviews and chronic disease appointments are bulk billed for Medicare card holders.

Full fee guide
We are a Medicare bulk billing practice
100% bulk billing clinic

Standard GP consultations at Toongabbie Doctors are bulk billed for patients with a valid Medicare card, so there is no out-of-pocket cost to see your doctor.

Eligible patients receive Medicare rebates for up to five allied health visits per year under a management plan.
Our on-site dietitian and physiotherapists bill privately; the Medicare rebate reduces your cost.
Blood tests requested by your GP are bulk billed through 4Cyte Pathology.

Common questions.

Common questions about chronic disease care.

A written plan prepared by your GP for conditions expected to last six months or more. It sets out your goals, the checks you need and the other health professionals involved, and gives eligible patients Medicare rebates for allied health visits.

Most patients with a chronic condition benefit from a review every three to six months, with blood tests as needed. Your plan sets the schedule and reception can book ahead.

Yes. Ms Anagha Chaudhari (dietitian) and our physiotherapists consult from the clinic. Under a management plan, eligible patients receive Medicare rebates for these visits.

Many chronic conditions are managed well by your GP. When a specialist opinion helps, your GP refers you and coordinates the shared care afterwards.

Yes. GP appointments, the annual cycle of care and care plan reviews are bulk billed for Medicare card holders. Pathology requested by your GP is bulk billed at 4Cyte.

Get your care on a plan.

Book a long appointment with Dr Hossain or any GP online, or call reception. Bulk billed for Medicare card holders.

Three ways to book: HotDoc · online · or by phone on (02) 7813 6000.

Toongabbie Doctors · Shop 1, Toongabbie Point
Monday to Friday8:00am - 5:00pm
Saturday8:00am - 1:00pm
SundayClosed
ParkingFree via Cox Lane
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