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.

How long will it take me?

This form should take you approximately 30 minutes to complete. If you have any problems completing the form, please contact 02 4343 0214.

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:

• Admission Information 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?

• Your Rights and Responsibilities
• Compliments/Complaints: If you would like to raise a concern or complaint during your stay, please ask to speak to a Manager or Contact Us

Click below to open the Online Admission form: