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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 discuss medical history without a rush.

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 1 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.


Contact Us

Health 104 is located at
104 Canterbury Rd
Middle Park 3205

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

Opening Hours

MON 9:00am - 5:00pm
TUE 9:00am - 5:00pm
WED 9:00am - 5:00pm
THU 9:00am - 5:00pm
FRI 9:00am - 5:00pm
SAT closed
SUN closed

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