New Patients

New Patient
If you are a new patient to the practice or returning after some time, we would appreciate some information from you. You can fill out the details and press SUBMIT or print the form and fax or post it to us, along with your referral. To protect your privacy the details submitted on this page are secure and encrypted.
Urgent Appointments
If you require an urgent appointment please fax your referral or get your doctor to ring on your behalf. Babies under 6 months are given priority appointments.
A referral from a general practitioner or specialist is necessary to claim the Medicare rebate for a specialist consultation. Referrals from GPs last 12 months (or longer if specified) but referrals from other specialists only last 3 months. It is the patient’s responsibility to ensure the referral is current.
We greatly appreciate cancellations being made more than 24 hours before the appointment so another patient can take your place.
After your appointment the account will be given, with payment expected on the day (cash, eftpos, credit cards). It will be submitted to Medicare on-line and the Medicare rebate will then be deposited into your bank account. If you are not in a position to pay private practice fees then please ask your doctor to refer you to a public teaching hospital dermatology clinic. We do not offer discounts for pensioners or Health Care Card holders.

Fees Guideline
Initial consultation $225-$245 depending on complexity (Medicare rebate $72.75)
Subsequent consultation $130 (rebate $36.55)

Unfortunately, Government rebates have not been increased since 2011.

Procedures are billed separately.


There are no toilets in our suite. From our past experience, children (and adults!) often need to use the toilet before their appointment. The toilets are located just to the left of the lifts as you walk in the main entrance. It is best to go before you walk around to Suite 6.

There is a large parking area at the front of the Medical Centre, off Entry 5 on Monash Ave. If this is full, proceed to the multi-story car park behind the Medical Centre.

Patient Details

First name and Initial (as on Medicare card)
Preferred Name
Date of Birth
Postal Address
Medicare Number
Expiry Date /
Individual Number on Card (i.e. 1/2/3/4 etc.)
Private Health Insurance
Fund Name
If the patient is a child, Medicare requires one parent’s full name and date of birth to enable the reception staff to transmit the invoice online to Medicare.
Father or Mother's Full Name
Date of Birth
Medicare Number
Expiry Date /
Individual Number on Card (i.e. 1/2/3/4 etc.)
Confirmation of future appointments
Name / Address of person responsible for account if different than above parent
Referring Doctor
It is usual for a letter to be sent to the referring doctor after the consultation. Please inform the doctor if you do not wish this correspondence to be sent.
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