Online Registration Form

We require this information to provide you with the best quality care.

Your personal health information is kept private and secure, as required by federal and state privacy laws.

Upon completion, you will receive an automatic reply of your submission to your provided email - so please ensure your information provided is correct.

Accurate contact details help us identify you and your medical records, allowing us to contact you promptly about tests and results.

If you have any concerns or unsure how to complete any sections on the registration forms, please leave blank and discuss with your Specialist or with reception upon arrival. Please notify us promptly of any changes in your contact details.

For WorkCover and Third-Party patients please complete the below registration form.

Please email approval from your insurer for the attention of your treating practitioner prior to your appointment. Unfortunately, we will be unable to consult you if we have not received appropriate documentation.

Email: reception@stadiumclinic.com.au