Patient Registration Forms
Patients are requested to complete the appropriate registration forms ahead of their appointment for seamless check in.
Please complete our paperless online registration form and submit ahead of your scheduled appointment- Link below.
Alternatively, if you wish to print out our registration form to complete please see the PDF attachment below. Please e-mail this to email@example.com ahead of your appointment.
Where possible please e-mail any GP/ Specialist referrals and letters, MRI / X-RAY/ CT/ BONE SCANS reports or anything relating to your injury to firstname.lastname@example.org ahead of your appointment, alternatively please bring to your appointment on the day.
If your booking is in relation to a Worker's Compensation Claim/ Third party please provide your written approval in advance of your scheduled appointment by e-mailing it to email@example.com .Unfortunately, we will be unable to consult you if we have not received appropriate documentation.
Please note: Not all of our Specialists consult Worker's Compensation Claims / Third Party Claims – please check with our reception on booking your appointment.
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.
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.
Accurate contact details help us identify you and your medical records, allowing us to contact you promptly about tests and results.
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.