Forms and Links

Forms

Patient registration

Patient registration form This form is used for the registration of new patients to the clinic.

My eHealth Record registration

My eHealth Record registration form (Adult) This form is used to assist in the registration of patients with My eHealth.

My eHealth Record registration form (Child) This form is used to assist in the registration of children with My eHealth.

Childhood Immunisation

ACIR Childhood Immunisation History Form This form is used for reconciling the ACIR registry with your own record of your child's immunisation.

Travel Vaccination

Pre-travel assessment form This form is used recording your travel itinerary and your previous vaccinations in order to assess your travel vaccination requirements.

Driver licensing.

Medical Certificate for Motor Vehicle Driver This form is your medical certificate for driving.

Driver's Health Assessment This form is used for both private and commercial driver's health assessments with view to determining your fitness to drive

Medicals

Pre-Dive Medical Form For Prospective Entry-Level SCUBA Divers This is the form used for SCUBA diving medicals.

Links

Travel information

http://wwwnc.cdc.gov/travel The Centre for disease control

http://travelclinic.com.au/ Travel Clinics Australia

http://www.smartraveller.gov.au/ The Smart Traveller

Australian Government travel information

Patient information