A selection of patient forms and policies are available for you to download and read, or fill out prior to your appointment time.

 

New Patient Forms

New Patient Registration Form and Medical Information Form

 

Transfer of Medical Records

When you register as a patient at Main Street Medical Centre, your records will need to be transferred from your previous doctor. Patient request for medical records

Leaving Main Street Medical Centre, a request form will be required from your new doctor to have your records transferred.  A health summary will be forwarded free of charge and full records copied onto disk will incur a fee of $20.

Patient Health Information Request Form

Our Patient Health Information Request Form is for use by patients, hospitals and other practices.

 

Medical Confidentiality Release form

Our Medical Confidentiality Release form is used to allow a third party (family member, carer etc) to access parts or all of a medical record.

 

Travel Assistance Form (IPTAAS)

For the most up to date forms visit the IPTAAS (Isolated Patients Travel and Accommodation Assistance Scheme) website, or our reception staff can print a form for you.

 

Privacy Policy

 

Social Media Policy