• Fee Discount Questionnaire

  • The following questions are a broad means test to check eligibility for reduced medical costs. By completing the questionnaire you agree to answering honestly.

    Please answer the questions in the order shown so the correct questions are shown.

  • Date of Birth*
     - -
  • Are you of Aboriginal or Torres Strait Islander descent?*
  • Are you currently working?*
  • Do you have children?
  • Do you receive a Government Aged Pension?*
  • Are you currently studying at university?*
  • Are you aged 12 - 45?*
  • Do you live in a family member's house?*
  • Do you have a Health Care Card?*
  • Do you receive Centrelink or NDIS support?*
  • Are you on a Health Care Card?*
  • Do you have children or dependents?*
  • Are you currently experiencing temporary financial hardship?*
  • Do you need ongoing regular financial support from family?*
  • Do you smoke (tobacco or marijuana)*
  • Should be Empty: