Online Admission Form
Complete your Admission Form quickly and easily online.
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.
How long will it take me?
This form should take you approximately 30 minutes to complete and submit online. You can save the form as a draft at any stage and return to complete it at a later time.
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?
Click below to open the Online Admission Form: