Get Medical Clinic New Patient Registration Form - Better Access Medical

The Medical Clinic New Patient Registration Form at Better Access Medical is a crucial document for initiating your healthcare journey. This guide will provide you with clear instructions on how to efficiently fill out the form online, ensuring a smooth registration process.

Follow the steps to complete your registration easily.

1. Click ‘Get Form’ button to obtain the document and open it in your preferred editing tool.
2. Start by selecting your title from the options provided. Circle either Mr, Mrs, Miss, Ms, or Other, and fill in any additional information as required.
3. Enter your date of birth in the D.O.B. field. Ensure the format is correct for clarity.
4. In the gender section, provide your preferred identification.
5. Fill in your first name, surname, preferred name, and any other names you go by in the corresponding fields.
6. Provide your complete address, including suburb and postcode to ensure accurate contact information.
7. Input your telephone numbers, including home, mobile, and work numbers. Specify whether you consent to receive a message on your mobile.
8. Enter your email address for correspondence and appointment reminders.
9. Fill in your Medicare Card number along with the reference number and expiration date as requested.
10. If applicable, provide your Health Care Card and Pension Card information along with their expiration dates.
11. List your next of kin’s details including first name, last name, relationship, and their phone number.
12. Complete the emergency contact section with the same details as required for your next of kin.
13. State your country of birth for demographic information that may assist with health care needs.
14. Indicate your identification as Aboriginal, Torres Strait Islander, both, or Other, as required.
15. Specify your consent regarding receiving appointment reminders via email or SMS.
16. If you are interested in more information about Hepatitis C treatments, indicate your interest.
17. Lastly, indicate how you heard about the clinic and provide your signature along with the date and printed name to finalize your registration.
18. Once all fields are filled out accurately, you can save the completed form, download it for your records, print it out, or share it as needed.

Complete your Medical Clinic New Patient Registration Form online today for a seamless healthcare experience.