Get Royal Perth Hospital - Pathwest

This guide provides clear, step-by-step instructions for completing the Royal Perth Hospital - PathWest form online. By following these directions, you can ensure that your form is filled out correctly and submitted efficiently.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Fill in the patient's surname, date of birth, forename, and gender in the designated fields marked with an asterisk (*) as these are mandatory.
3. Input the referring sample number, requesting clinician, and referring laboratory. These fields are also mandatory.
4. Complete the clinician institution and the test(s) requested sections, ensuring to list each test on a new line.
5. In the test cost(s) section, specify the cost for each test in Australian dollars (AU), including GST if applicable.
6. Calculate and enter the total cost of the tests above in the provided field, ensuring to fill in this required information accurately.
7. If necessary, provide the authorising officer's details and specify the institution responsible for any cancellations of testing.
8. Fill in the health institution or clinician to be invoiced, including full contact details such as name, institution, phone number, postal address, fax number, suburb, postcode, email address, state, and country.
9. Complete the patient or guardian invoicing section, ensuring to print the name of the patient or guardian, including their consent to pay the total amount listed.
10. Finally, ensure to sign the document as the patient or guardian, and provide their contact details in the bottom section of the form.
11. Once all fields are filled, you can save the changes, and choose to download, print, or share the completed form as needed.

Complete your Royal Perth Hospital - PathWest form online today for a swift submission process.