Forms

Patient registration form

All new patients require to fill in a Patient Registration as well as signing the consent form. If you can kindly  fill in the form and provide on your first visit at the clinic.

Medical transfer forms
If you would like your medical records to be transferred from another medical clinic , please fill in the provided form and forward it to your previous medical clinic.

My Health Record application forms. Any patient that wishes to have a My Health Record and needs assistance to register you will require to fill in an application form.

For Adults click below
My-Health-Record-Assisted-Registration-Form

For Children 18 years or younger click below
My-Health-Record-Assisted-Registration-Form-Child

NDSS Registration Form
If you are a diabetic you can register with the NDSS, whom will deliver education and information services to people with diabetes. It also provides a range of diabetes product at a subsidised cost.

Disabled Parking permit
For those patients that are in need of a Disabled Parking Permit, or need to renew their permit.

Bank account details
From the 1st of July 2017 we will have a new billing system, where you will be required to have your banking details linked with Medicare. This will allow for Medicare Reimbursements to go directly into your bank account, as Medicare NO longer send out cheques.