New patient registration - over age 16
Thank you for taking the time to complete the following paperwork because it helps us to provide the best possible care for you and your family.
This information helps us to provide appropriate care for a wide variety of people from different backgrounds and ethnicities.
Or enter "No known allergies''
Or enter ''No previous medical conditions''
Or enter "No current medications"
For example - ages of family members affected.
For example - needle phobia, things we can do to assist you to feel comfortable in our clinic etc.
Health information collection and use consent