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Click here to download our Patient Registration form. Please complete this form and fax it to: 03 9887 3340 or return it via email or bring the completed form with you on the day of your appointment.
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Please note consultation fees for all patients (except Veterans Affairs) are required to be settled in full at the time of your consultation. We are able to claim the Medicare component of the account directly from Medicare on your behalf as long as you have a valid referral for the consultation (GP referrals expire 12 months from date of initial consultation and specialist to specialist or Accident and Emergency referrals expire 3 months from the initial consultation date). TAC and Workcover patients are able to claim their accounts directly from the applicable party with the receipt issued to them.

From December 21, 2001, the Federal Privacy Act of 1988 was amended to apply to all doctors in private practice. It is required that a fully informed voluntary consent is obtained before or as soon as practical after the collection of health information. Medical care requires full knowledge of patient health information by all members of a medical team, which may be shared from time to time. This may include referring doctors, pathology, radiology, anaesthetists, Medicare, Private Health Insurance Funds, Workcover, TAC, Veterans Affairs and Debt Collection agencies.

Health information may be used for secondary purposes such as auditing surgical results, clinical research, etc. Record keeping may also include xrays and photographs. The privacy of individuals is strictly maintained when reporting results of audits or research to the profession.

On submitting this online Patient Registration form you agree that you have read and understood the above and consent to information, xrays and photographs being used for the secondary purposes of audit and research along with sharing my medical information with other health professionals directly involved in my treatment along with obtaining relevant medical information from other health professionals applicable to my treatment.

© 2012 Mr Tony Dunin - Orthopaedic Surgeon - 262 Mountain Highway, Wantirna 3152 Ph: 03 9887 1488 | Fax: 03 9887 3340 Web Designers Melbourne