How To Prepare For Your Appointment
Form
New Patient Registration
- New Patient Registration Form - This form is used for the registration of new patients to the clinic.
My eHealth Record Registration
- My eHealth Record Registration Form (Adult) – This form is used to assist in the registration of patients with My eHealth.
- My eHealth Record Registration Form (Child) – This form is used to assist in the registration of children with My eHealth.
Childhood Immunisation
- ACIR Childhood Immunisation History Form – This form is used for reconciling the ACIR registry with your own record of your child's immunisation.
Travel Vaccination
- Pre-travel Assessment Form – This form is used recording your travel itinerary and your previous vaccinations in order to assess your travel vaccination requirements.
Driver Licensing
- Medical Certificate For Motor Vehicle Driver – This form is your medical certificate for driving.
- Driver's Health Assessment – This form is used for both private and commercial driver's health assessments with view to determining your fitness to drive
Medicals
- Pre-Dive Medical Form For Prospective Entry-Level SCUBA Divers – This is the form used for SCUBA diving medicals.
Patient Information
- Dr Agha Skin Check Information – This is an information form for Dr Agha's skin checks
Links
Travel information
- Travel The Centre For Disease Control
- Travel Clinics Australia
- The Smart Traveller
- Australian Government Travel Information
Patient information