Forms

New Patient Form

Please complete the new patient form and bring it with you to your initial appointment or alternatively please arrive 10 minutes prior to your appointment time to complete a form at Hatherley Medical Centre.

New Patient Form  (docx)

New Patient Form  (PDF)

Patient Transfer Request Form

Please complete and email back to the practice

Patient Transfer Request Form (PDF)

Patient Feedback

Patient Survey Feedback for Patients 2024 (docx)

Patient feedback form (docx)

ACROD Parking Permit Application

Click here to download the form. If you are entitled to apply for an ACROD parking permit please complete the patient’s section of the ACROD parking permit application form and bring it with you to your consultation.

Taxi Voucher Application

If you are entitled to apply for Taxi Vouchers please complete the patient’s section of the Taxi Voucher application form and bring it with you to your consultation.

Click here to link to the Department of Transport website for the application form (you will need to navigate to the form by clicking on: Taxi/Charter -> Passenger Information and Complaints -> Passenger Subsidies).

Centrelink Homepage

Click here to access Centrelink.