NEW PATIENT REGISTRATION
YOUR PRIVACY AND MEDICAL INFORMATION
This medical practice collects clinical and financial information from you for the primary purpose of providing quality health care. We require you to provide us with your personal detailsso that we may properly access, diagnose, and treat your health care needs. This means that we will use the information for administrative purposes, billing, disclosure to others involved in your health care; including specialists and other treating doctors outside this practice and disclosure to other doctors in the practice including locums to assist in your medical care. This practice may occasionally be involved in research and quality assurance activities to improve individual and community health care and practice management. All information is de-identified. If you wish to opt out of any research undertaken by the clinic, please inform your doctor. We wish to always assure you that your health information is treated with utmost confidentiality.
Consultation fees are payable at the completion of your consultation unless alternative arrangements have been made in advance.
Please be aware that your consultation and/or treatment may involve services provided by other healthcare providers or organisations. These services may attract separate fees and out-of-pocket costs that are not included in the fees charged by our practice. These may include, but are not limited to, fees for pathology, radiology and other diagnostic imaging, anaesthesia, assistant surgeons, hospital services, allied health services, medications, medical devices or prostheses, and other healthcare professionals involved in your care.
Where possible, you are encouraged to obtain information regarding these fees directly from the relevant provider and, where applicable, confirm your level of cover with your private health insurer before proceeding with treatment.
If you elect to undergo surgery through the public hospital system, there will generally be no fee for the hospital admission or surgical treatment as a public patient. However, any outstanding account with our practice must be settled before your public hospital surgical booking form is submitted to the relevant hospital.
Once the booking form has been submitted, the timing and scheduling of your surgery is determined by the public hospital. It is your responsibility to communicate directly with the hospital’s elective surgery booking office regarding your waiting list status and anticipated timing of surgery.
By submitting this registration form, you acknowledge that you have read and understood the above information and accept responsibility for fees charged by our practice and for obtaining information regarding any additional costs that may be charged by other healthcare providers involved in your care.