Obsterics New Patient Form
  • Obstetrics - New Pregnancy Enquiry Form

  • Personal Details

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  • Vital Information

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  • FEES:

    FULL PAYMENT IS REQUIRED ON THE DAY OF YOUR CONSULTATION. 

    FEES ARE LISTED BELOW 

    Our goal is to provide you with professional healthcare throughout your pregnancy, birth, and postpartum period to ensure the best possible outcome for both you and your baby.

    We endeavour to provide you with professional healthcare throughout your pregnancy, birth, and postpartum period to ensure the best possible outcome for you and your baby.

     Dr Manisha Doohan's consultations are partially rebated by Medicare for eligible patients.

    Please note that private health insurance does not provide any rebates for these outpatient visits, unless you are on an overseas visitor/student policy.

     Your Medicare rebate may increase once you or your family reach the Medicare Safety Net threshold. We strongly encourage your register for the Medicare Safety Net through the Services Australia website. The Medicare Safety Net resets each January. Once the threshold is reached, Medicare will cover 80% of your out-of-pocket medical cost, up to the applicable annual caps.

     For inpatient services, Dr Manisha Doohan is a NO GAP provider FOR CURRENT MEDICARE CARD HOLDERS ONLY, meaning there will be no additional out-of-pocket expenses for her services while you are in the hospital.

     

      Apppointment Schedule Item Number Fee
    Initial Obstetrics Appointment 14-16 weeks 16401 $370
    Follow Up Antenatal 32, 36, 38, 39, 40 weeks 16500 $170
    Midwife Consultation 21, 24, 34 weeks N/A $75

    VBAC/TOLAC Councilling

    IN ADDITION TO CONSULTATION FEES

    (if required @ 21 weeks) 16500

     

    $370

     

    Pregnancy Management Fee

    (Non-Refundable)

    28 weeks 16590 $3000
    GDM Education (if required) N/A $150

    Delivery Deposit/Fee 

    (Non Medicare or Non Private Health Patients ONLY)

    32 weeks Item number and receipt given after the birth of baby $3000
    Postnatal Appointment 6 weeks after birth 16407 $170

    *FEES LISTED ABOVE ARE CURRENT AT THE TIME OF COMPLETING THIS FORM AND ARE SUBJECT TO CHANGE WITHOUT PRIOR NOTICE*

    ADDITIONAL FEES

    Please be aware that the quoted fees do not include services provided by external providers, including but not limited to:

    SJOG Murdoch
                                    Murdoch Baby and Paediatric Services                                                  Anaesthetist
    Surgical Assistants
    Pathology
    Radiology
    These services will be billed separately

     

    REFERRALS:

    It is the responsibility of the patient to ensure their referral is current.

    A referral from a GP is valid for 12 months and a referral from a Specialist is valid for 3 months.

    Please check with reception if unsure or if you have any questions.

    PLEASE NOTE: You will get a Medicare rebate only if we have a current referral on your file.   

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  • PREGNANCY MANAGEMENT FEE:

    Please note: This payment is non-refundable

    The pregnancy management fee of $3000 is charged at your 28-week appointment.

    Medicare defines it as a fee for the planning and management of a pregnancy with a private obstetrician.

    This fee is charged by ALL private obstetricians.

    It reimburses the obstetrician for providing round the clock care (by Dr Manisha Doohan or a SJOG Accredited Specialist Obstetrician, if Dr Manisha Doohan is unavailable) and recognising the implications of on-call obstetrics being unpredictable. This fee also helps cover the costs of the large indemnity and insurance cover obstetricians must have in place.

    ADDITIONAL FEES

    Please be aware that the quoted fees do not include services provided by external providers, including but not limited to:

    SJOG Murdoch
                                       Murdoch Baby and Paediatric Services                                           Anaesthetist
    Surgical Assistants
    Pathology
    Radiology
    These services will be billed separately

     

     

      

    FOR ALL PATIENTS WITHOUT MEDICARE BENEFITS OR PRIVATE HEALTH INSURANCE

    DELIVERY FEE: 

    Dr Manisha Doohan will charge the delivery deposit/fee of $3000 at your 32-week appointment.

    This fee is charged to ALL PATIENTS WITHOUT MEDICARE BENEFITS OR PRIVATE HEALTH INSURANCE. It covers the costs for Dr Manisha Doohan to deliver your baby at SJOG Murdoch (or a SJOG Accredited Specialist Obstetrician if Dr Manisha Doohan is unavailable).

    The delivery deposit/fee will be partially or completely covered by your private health insurance depending on your cover. Please check the following two (2) item numbers with your insurance company - 16519 or 16522, you will only be charged one (1) of the two (2) item numbers depending on the pregnancy and delivery risk factors.

    This fee can be claimed by the patient from their health fund once the baby is born.

    ADDITIONAL FEES

    Please be aware that the quoted fees do not include services provided by external providers, including but not limited to:

    SJOG Murdoch
                                       Murdoch Baby and Paediatric Services                                           Anaesthetist
    Surgical Assistants
    Pathology
    Radiology
    These services will be billed separately

     

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  • PRIVACY ACT 1988 - CONSENT AND DISCLOSURE:

    The Privacy Act 1988 requires medical practitioners to obtain consent from their patients to collect, use and disclose the patient’s personal information.

    COLLECTION:

    This means we will collect information that is necessary to properly advise and treat you, such information may include:

    Full medical history
    Family medical history
    Ethnicity
    Contact details
    Medicare/Private Health fund details
    Genetic information
    Bill/account details

    The information will normally be collected directly from you. There may be occasions when we will need to obtain information from other sources for example:

    Other medical practitioners such as a former GP or Specialist
    Other health care providers, such as physiotherapists, occupational therapists, psychologists, pharmacies, dentists, nurses and hospitals including day surgery units.


    Both our practice staff and medical practitioners may participate in the collection of this information.

    In emergency situations, we may need to collect personal information from relatives or other sources where we are unable to obtain your prior express consent.

    USE & DISCLOSURE:

    With your consent, the practice staff will use and disclose your information for purposes such as:

    Account keeping and billing purposes
    Referral to another medical practitioner or health care provider
    Sending of specimens, such as blood samples or Pap smears for analysis
    Referral to hospital for treatment and or advice
    Advice on treatment options
    The management of our practice
    Quality assurance, practice accreditation and complaint handling
    To meet our obligations of notification to our medical defence organisations or insurers
    To prevent or lessen a serious threat to an individual’s life, health or safety and
    Where legally required to do so, such as producing records to court, mandatory reporting of child abuse or the notification of diagnosis of certain communicable diseases.

    ACCESS:

    You are entitled to access your own health records at any time convenient to both yourself and the practice. Access can be denied where:

    To provide access would create a serious threat to life or health

    There is a legal impediment to access

    The access would unreasonably impact on the privacy of another

    Your request is frivolous

    The information relates to anticipated or actual legal proceedings and you would not be entitled to access the information in those proceedings and

    In the interests of national security

    We ask, where possible, your interests be in writing. We may impose a charge for photocopying or for staff time involved in processing your request. Where you dispute the accuracy of the information we have recorded, you are entitled to correct that information. It is our practice policy that we take all steps to record all of your corrections and place them with your file but will not erase the original record.

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  • INFORMATION ON PELVIC EXAMINATION:

    Your consultation with the doctor may involve a pelvic (intimate) examination. 

    Please read the information below to help you understand what a pelvic examination is.

     

    The examination may include:

    Palpation of the abdomen- The doctor may use their hands to touch your abdomen.

    Inspection of the vulva- This involves looking at the vulva skin.

    Speculum vaginal examination- Using a speculum inserted inside your vagina to look at the vagina and cervix, during the speculum examination tests, for example, vaginal or cervical swabs may be collected.

    Digital vaginal examination- This involves the doctor placing one or two gloved fingers inside your vagina while the doctors other hand touches your lower abdomen, this allows assessment of the pelvic organs such as the uterus, fallopian tubes and ovaries.


    Chaperone will be offered during the examination. You can decline the chaperone if you do not wish a third party in the room and if your doctor is in agreement.

    Clothing items such as your shirt, trousers, skirt and underwear may need to be removed for the examination. You will be provided with a modesty sheet to cover yourself before and after the examination.

    Your doctor will advise you if the examination is needed and what the reasons for needing the examination are. If a pelvic examination is advised you will be given an opportunity to decide if you want to go ahead or not.

    Please bring any questions or concerns to the attention of your doctor. 

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