Change in Provision of Care Community Health Service [Address line] · [Phone] Date of letter: 28 September 2026 Client Name Jane Smith NHI number ABC1234 Change in provision of care Service Status Effective date Wound management Closed 30 September 2026 Medicine support Transferred 05 October 2026 Stomal services Cancelled 12 October 2026 General Practitioner (GP) Name Dr [GP name] Email gp.name@example.co.nz Recommendations Advice to Client Please continue to keep your dressings clean and dry until your effective date. Contact your GP if you notice increased redness, swelling, pain or discharge. Keep a current list of your medicines with you at all times. Notes for GP Ongoing review of medicine management is recommended following the transfer of medicine support. Please arrange a follow-up appointment with the client and advise if further referral is required. Clinician comments Wound has healed and no further wound care is required. Medicine support has been handed over with a full medication summary. Stomal services are cancelled at the client's request following review. Advice to Whānau 29/09/2026, 13:24 Change in Provision of Care – Letter file:///C:/Users/MayankPachauri/Downloads/change-in-care-letter.html 1/2 Please support the client to attend appointments and to take medicines as prescribed. If you have any concerns about their health or wellbeing, contact their GP or call Healthline on 0800 611 116 at any time. Yours sincerely, [Clinician name] [Role / Service] Confidential: intended for the client and their health providers only. Page 1 of 1 29/09/2026, 13:24 Change in Provision of Care – Letter file:///C:/Users/MayankPachauri/Downloads/change-in-care-letter.html 2/2