Stay Home. Protect Health Care System. Save Lives
Mon to Fri: 8.00 am - 11.00 pm
SAT, SUN, and PH: 9.00 am - 10.00 pm
1, 3 & 5 Hanson Road,
Craigieburn VIC 3064
BOOK NOW(03) 9305 5555
BOOK NOW(03) 9305 5555

Sorry, this form is not working. Do not fill this. Instead follow the prompts while booking.

We need this information to provide the best quality care. This form complies with the RACGP Standards for general practices (5th edition). This means your personal health information is kept private and secure, as required by federal and state privacy laws. If youhave concerns, please leave blank and discuss with your GP. Please notify us promptly of any changes in your contact details.Accurate contact details help us identify you and your medical records, and allow us to contact you promptly about tests and results.

Knowing your cultural background can help us provide healthcare that meets your individual needs.
Are you Aboriginal/Torres Strait Islander
Interpreter required:
Allergies and medicines

Consent

Our practice uses a remider system to help you maintain your health. The practice sends reminders by post, email, telephone or sms for procedures such as vaccinations, Pap tests and other health reviews.
I consent to being contacted with reminders to help me maintain my health
Our practice alsosends informatoin to the Australian Childhood Lmunisation Register and Pap Smear Register. These registers also send remiders, which can be helpful if you move.
I consent to being contacted with reminders to help me maintain my health

Transfer of health information

You may have consistently consulted with a GP at another practice. The health information held by that Gp map assist us with your future healthcare needs. Youmay wish to have a copy or a summary of your health records transferred to this practice. Please ask the receptionist for information about how this can take place

Please upload your Photo ID and Medicare card or Private Health Insurance card