How To Prepare For Your Appointment

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