NEW PATIENTS

INFORMATION FOR NEW PATIENTS

The Referral Process

We understand that the process of being referred and seen by a specialist can be complex and time consuming, but the staff at North Shore ENT are there to assist you with any needs. Once you have been referred by your local GP, simply call the clinic and the staff will be able to book an appointment for you in the next available slot that is convenient for you. Referrals can also be made by fax, and you will be contacted by a member of the clinic staff to book an appointment. Please ensure that your details are available on your fax referral.

One to three days before the scheduled appointment, you will receive a confirmation phone call or SMS to remind you of your appointment date and time with the specialist ENT surgeon.

Important things to bring

On the day of your scheduled appointment, it is important for you to bring your referral letter, any relevant X-Rays, CT Scans, Ultrasounds, MRI scans, investigation or biopsy results, and a list of your current medications. If you are unsure, we would recommend that you bring all your medical information and results you have at home, or you can ask a staff member for advice.

The Consultation with your ENT Specialist

Your specialist ENT surgeon will approach you in the waiting room at your scheduled appointment time and invite you into the consultation room. Relatives and friends are welcome to sit in the consultation, which will begin with a history of your ENT condition. This is followed by any necessary clinical tests or investigations (e.g. microscopic or endoscopic examination). If required, you may be given a prescription for medications or referrals for further investigations. If surgery is recommended, your surgeon will explain the details to you and will ensure that you fully understand the process, as well as answer any questions you may have.

At the conclusion of the consultation

You will be asked to check out with the reception staff, who will book any future appointments for your prior to your departure. If surgery has been recommended for you, the processes involved with hospital admissions and surgery dates will be explained to you in detail by a member of staff, who will also ask you to fill in the relevant hospital admission forms and other documents. For more information on the specific hospital admission processes, please refer to the Resources page and Patient downloads documents.

Patient Registration Form

Title
Name*
First Last
Known As
Date of Birth*
DD slash MM slash YYYY
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email
Emergency Contact Name*
Emergency Contact Relationship
Emergency Contact Phone Number*
Medicare Number*
Number in front of your Name*
Expiry month*
Expiry year*
DVA Card (if applicable)
Card Type
- White
- Gold
Pension Number (if applicable)
Do you have Private Health Insurance?
- Yes
- No
Name of Health Fund
Membership Number
Account Holder Details
- Same as Patient Details
- Different from Patient Details
Parent/Guardian Full Name*
Date of Birth
DD dash MM dash YYYY
Medicare No*
Number in front of your Name*
Expiry month*
Expiry year*
Please note: If a skin biopsy or excision is performed, the tissue sample will be sent for pathology. The pathology provider will bill you separately for this (Medicare Rebates apply)

Payment at the time of consultation is required If this is inconvenient, please let our reception staff know and we will kindly book another appointment for you.
General Consent for the Disclosure of Personal Information*
The Health Records and Information Privacy Act 2002 require medical practitioners to obtain consent from their patients to collect, use and disclose the patient’s personal information. The personal information we collect from you will be used primarily to assist us in providing the highest level of medical care. We may liaise with your referring doctor and may be required to release test results to health care professionals or hospitals involved in your care. In some instances, we may be required to release test results to your fund to obtain approval for a procedure.
- I AGREE TO SETTLE MY ACCOUNT AT THE COMPLETION OF MY CONSULTATION. I UNDERSTAND THAT ADDITIONAL CHARGES MAY APPLY FOR ANY PROCEDURES PERFORMED. I HAVE READ THE ABOVE CONSENT AND PROVIDE MY PERMISSION.
Important Information*
North Shore ENT may, on occasion, wish to communicate with you by email and SMS. All email communications are performed with particular regard to the privacy and confidentiality of your health information; however, email communications are NOT ENCRYPTED, and therefore carry a higher risk. Email does not replace other forms of communication with your practitioner, such as consultation visits. Consenting to communicate with us by email assumes the following:
- - You acknowledge that the privacy and confidentiality of your health information may be compromised when communicating by email without encryption.
- - Only non-urgent matters shall be communicated by email, as practice staff may not read all their emails on a daily basis. Urgent matters will always be communicated by telephone.
If you are happy to receive email & SMS communications from North Sore ENT, you will need to provide your consent below by selecting either of these options:
- I CONSENT to email & SMS communication with and from North Shore ENT.
- I DO NOT CONSENT to email & SMS communication with or from North Shore ENT