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Home
About
Conditions
Haematuria
Kidney Conditions
Kidney Stones
Renal Cysts
PUJ Obstruction
Bladder Conditions
Prostate Cancer
Benign Enlarged Prostate
Testis
Procedures
Cystoscopy
Kidney Stone Treatments
Transperineal Prostate Biopsy
Robotic Surgery
Robotic radical prostatectomy
Robotic partial nephrectomy
Robotic pyeloplasty
HoLEP Surgery for BPH
Circumcision
Vasectomy
Patients
Preparation for Appointment
Patient Registration
Telehealth
Patient Resources & Guides
Feedback
Referrers
Contact
Patient Registration:Â
If you are a new patient, please complete and submit the Patient Registration form below prior to your first appointment. Alternatively you can complete a paper version when you arrive.
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Name
*
First
Last
Contact Number
*
Email Address
*
Residential Address
Date of Birth
Medicare Number
Pension Card Number
Disability or Age Pension only
Private Health Fund (if applicable)
Private Health Membership Number
General Practitioner Name / Practice Details
Do you have any allergies to any medications? Please list
Please enter any other relevant information below
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