Get Au Sdh-fm-001a 2016-2026

Filling out the AU SDH-FM-001A form is an essential step in your admission process. This guide provides clear, step-by-step instructions to help you complete the form online with ease and accuracy.

Follow the steps to successfully complete the AU SDH-FM-001A form.

1. Press the ‘Get Form’ button to access the AU SDH-FM-001A form and open it for editing.
2. Review the Patient Details section. Fill in your title, given names, family name, address, postcode, and contact information including home, work, and mobile numbers. Make sure your email address is clearly printed.
3. Complete the patient-specific details such as date of birth, marital status, and whether you identify as Aboriginal or Torres Strait Islander. Enter your Medicare number and confirm your permanent residency status if applicable.
4. In the Emergency Contacts section, enter the next of kin details, including their relationship to you, followed by the name of your escort and their relationship to you along with their contact numbers.
5. Provide your health fund information by filling in the name of your fund and membership number. Indicate if you have health coverage or require written approval for day surgery.
6. Answer the questions regarding your recent hospital admissions and, if applicable, complete the Pension and Health Care Card details.
7. If applicable, detail any workers' compensation or third-party insurance claims, providing the necessary information regarding your employer and insurance company.
8. In the Payment Agreement section, review your statements for accuracy and sign the form with the date provided.
9. Move to the Risk Assessment section and answer all questions carefully regarding your medical history and current medications, ticking the boxes where necessary.
10. Finally, save a copy of your completed form to your device. You can then attach the file to an email and send it to the specified administrative email address of your nominated hospital.

Complete your AU SDH-FM-001A form online today for a smoother admission process.