New Patient Registration

New Patients Please Note

New patients are required to complete a New Patient Registration Form. For legal reasons, this applies even if you’ve seen one of our GPs at another clinic.

New patients are also required to book in for a long appointment at their first visit. This is to ensure that there is sufficient time for the doctor and patient to get acquainted and to discuss relevant medical history.

New Patient Registration Form

New Patient Registration Form

The new patient registration form will only take a few minutes to complete and you will need to have your Medicare card (or pension/concession card) handy. If you do not have a Medicare or pension/healthcare/concession card, you are still required to complete this form. Simply tick “no” to the Medicare question in the form if you do not have a Medicare card.

In order to ensure data privacy, the form will clear and reset after one minute of inactivity.

How to Complete The New Patient Registration Form

  • When booking your appointment online via our website, you’ll be prompted to complete the form at the time of booking.
  • If you have booked via phone, please arrive 10 minutes prior to your appointment and complete the form on our iPad while waiting.
  • Alternatively, our friendly team can assist you with completing this form.

Practice Policy

It is our clinic policy that drugs of dependence, including Schedule 8 Controlled Drugs (narcotic painkillers) and certain sedatives, will not be prescribed to new patients at their first appointment. These medications have strict legislative controls regarding their use and they are illegal to prescribe without a valid Government-issued permit.

Transferring your medical records to Health 104

If you have previously seen a health professional and would like your medical record transferred to our practice, please complete the form below.

Ideally, Health 104 would like to have your previous medical records in our system, as this will provide us with a more complete picture of your health. Information should include your medical history, past and current medications and information such as your immunisation records.

Please note that your former clinic will only forward a copy of your medical record. Legally, they are required to retain any inactive records in their system until a patient has reached the age of 25 years or for a minimum of seven years from the time of last contact;  whichever is the longest.

You may be charged a transfer fee by your previous clinic. Also, please be aware that some clinics will not process your request promptly and it may take several weeks for your medical record to be transferred.

Download Transfer Form

Transferring your medical records to another practice

If you would like to transfer your medical record from Health 104 to another GP clinic, then please complete a transfer form from your new practice and fax or email it to us.

A $25 transfer fee applies.

Once the fee has been paid, your file will be securely sent to the other clinic.

We try to accommodate these kinds of requests within two week of receipt.

Call our friendly team on 1300 003 082 or book your appointment online


Contact Us

Health104 is located at
104 Canterbury Rd
Middle Park 3205

Find us on Google Maps
Call 1300 003 082 (click to call) reception@health104.com.au

Opening Hours

Health104 Reception Opening Hours:
Monday - Friday 9am-5pm

Active104 Operating Hours:
Monday - Friday 6am - 9pm
Saturday/Sunday - 7am-4pm

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