Royal Park Medical - New patient registration form

All information collected is confidential.  Please read our privacy policy here: http://www.royalparkmedical.com.au/privacy-policy/


We are asking this information to determine if you may be eligible for Medicare services and prescription benefits, and to help improve health outcomes under the 'Closing the Gap' initiative. Your information will remain confidential. Please ask us if you have any questions.


We need to ask your permission to contact you about your health

Our practice uses a reminder system. We may contact you by SMS, email, post or telephone if results or correspondence that we receive need further discussion.  We will also remind you about scheduled vaccinations and overdue tests.  We use HealthEngine to send appointment reminders and recall messages.

Our practice sends information to the Australian Immunisation Register and the Cervical Screening Register.  These registers may also send you reminders. We can and do access "My Health Record" but only with your further consent.



Your medical history

It is helpful for us to know a little about your health before your first consultation.  There will be time to discuss this further with the doctor.