By becoming a patient of MyHealthCity Hope Island/ Pimpama and signing this New Patient form I agree and consent to the following: I will receive SMS from MyHealthCity to confirm my Appointments and Recall Reminders. I consent to the use / disclosure of my personal health information by the above named Practice to other health care providers involved directly or indirectly involved in my personal health care or medical treatment.
Acopy of our Practice Privacy Policy can be found in our Patient Information Booklet available from reception.
Patient Signature or Parent Guardian (If child is under 16 years of age)