Welcome to our secure online Admission Form. Here you can fill in your relevant details and complete your hospital pre-Admission online, conveniently and confidentially.
Please have the following information at hand when you fill in your online pre-Admission Form:
- Personal/next of kin details
- Medicare card
- Funding details (e.g. Private Health Insurance, DVA etc)
- Benefit details (e.g. pension card)
If you have any problems completing the form, please contact our patient eligibility clerk on 6432 6017 or [email protected]
By completing this form, I acknowledge that I have read and understood the information contained within the following:
I have read and understand my rights and responsibilities and how to make a compliment / complaint should I need to do so?
Click below to open the Online Admission form:
Please note the online admission form is accessible from any device using the following compatible browsers; Microsoft Edge, Google Chrome, Firefox and Safari.