Patient Registration

As a patient of our medical practice, we require you to provide us with your personal details and a full medical history, so that we may properly assess, diagnose, treat and be proactive in your health care needs. We aim to protect the privacy and secure storage of your health information.
We require your consent to collect personal information about you and to use the information you provide in the following ways. Please read this consent form carefully, and sign were indicated below. Administrative purposes in running our medical practice.
Billing purposes, including compliance with Medicare and Health Insurance Commission requirements. Disclosure to others involved in your healthcare including treating doctors and specialists outside this medical practice. This may occur through referral to other doctors, or for medical tests and in the reports or results returned to us following referrals. Disclosure to other doctors in the practice, locums etc. attached to the practice for the purpose of patient care and teaching.

For research and quality assurance activities to improve individual and community health care and practice management. Usually, information that does not identify you is used but should information that will identify you be required you will be informed and given the opportunity to “opt out” of any involvement. To comply with any legislative or regulatory requirements e.g., notifiable diseases. For reminder letters which may be sent to you regarding your health care and management.

NOTE: You can decline to have your health information used in all or some of the ways outlined above but it may influence our ability to manage your health care to provide the best outcome for you.

Read it carefully and sign at the bottom,
Gippsland Specialist Clinic is a private clinic and not a bulk-billing practice.
Therefore, there may be out-of-pocket cost involved with your doctor’s visit. It is encouraged that the patients discuss doctor’s fees prior to their visits, to avoid any confusion.
There are discounts available for patients holding Pension card/ Healthcare Card or depending on individual situation. It is expected that the patients will pay their fees in full before they leave the clinic. Any invoice generated in relation to the patient’s fees will be mailed to the patient’s nominated address or emailed to him/ her. We expect payment of this invoice within 2 weeks of time.