Online Admission Form

Click below to open the Online Admission Form:

Welcome to our secure online Admission Form. Here you can fill in your relevant details and complete your hospital pre-Admission online, conveniently and confidentially.

What information do I need?

Please have the following information at hand when you fill in your online pre-Admission Form:

• Personal/next of kin details
• Medicare card
• Funding details (e.g. Private Health Insurance, DVA etc)
• Benefit details (e.g. pension card)

Acknowledgements

By completing this form, I acknowledge that I have read and understood the information contained within the following:

• Hospital booklet
• Private Patient's Hospital Charter
• Your right to privacy under the Privacy Act
• Informed Financial Consent
• Payment information

I have read and understand my rights and responsibilities and how to make a compliment / complaint should I need to do so?

• Rights and responsibilities
• If you have a concern or complaint during your stay, please ask to speak with a Manager or Contact Us