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We pay respect and acknowledge the wisdom of Elders who have passed, those of today and tomorrow and pay respect to Aboriginal communities of the land on which we live and work.

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                                        NEW PATIENT
                                   
                                   Registration Form



A registration form must be completed for all new patients to Lane Cove Family Medical Practice.                       
Simply fill out the form below and submit through our SSL protected webpage.
Click here to complete the New Patient Form.

We are a privately billing practice and all new patients are scheduled for a 30-minute consultation to allow the doctor sufficient time for a thorough initial assessment and be able to offer you and the best medical care. Refer to our fees page for more information.

Each child and newborn must be registered separately. The parent claiming the Medicare rebate must also be registered as a patient to be eligible for any rebates. If you are registering on behalf of your child, please make sure to complete a separate registration for yourself as well.



Please ensure your contact details are correct, as we must confirm your appointment beforehand. When you book your appointment, you are holding an appointment that is no longer available to other patients. If we are unable to reach you, your appointment will be released to accommodate other patients.

All new patients are required to provide credit card details at the time of booking. In the event of a no-show, your card may be charged up to the full cost of a new patient consultation.

Click here to view our New Patient policy.







 

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NEW PATIENT

Registration Form

A registration form must be completed for all new patients to the Lane Cove Family Medical Practice. Simply fill out the form online and submit through our SSL protected webpage or print off a copy and bring into the practice.

Click here to download 

or continue for online submission

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