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Are you diabetic?*

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Informed Financial Consent
Consultation Fees - effective 1 November 2024

	Surgeon Fee	Medicare Rebate	Out of Pocket Expense (Gap)
Initial Consult	$200	$86.15	$113.85
Review Consult	$110	$43.35	$66.65
Initial Concession	$120	$86.15	$33.85
Review Concession	$70	$43.35	$26.65

Payment for your consultation is appreciated on the day of service. For outstanding invoices beyond 21 days that require debt recovery, this will incur an additional fee of 20% + GST.

A current referral is required for you to claim Medicare rebates. Please note that a referral from a General Practitioner is generally valid for 12 months but may be deemed ongoing if specified by your GP. A referral from a specialist is valid for only three months.

DVA Gold Card holders will be billed directly through the Department of Veterans Affairs.

A $20 non-relatable fee for prescriptions requested outside of appointment time will apply.

To avoid any unnecessary or duplicate testing, kindly forward any relevant pathology and radiology to our rooms prior to your appointment.
Consent for Release of Information

It is an increasingly important part of surgical practice to perform quality assurance projects, including clinical audits. This means critically looking at procedures performed and discussing any issues that may have arisen so that these could be prevented in the future. These audits must be peer-reviewed to be deemed suitable by the Royal Australasian College of Surgeons. As such, some of this information is presented to other colleagues. At no time are patients’ identities mentioned during these discussions but simply a general discussion regarding the type of cases performed and problems that may have arisen.

Under the current privacy legislation, it is imperative that we have your informed consent to perform these audits and that you agree that information that may be obtained from these audits may be presented to third parties, such as other general surgeons.

Our Privacy Policy is available on request.

I agree to collecting, using and disclosing medical information to properly assess, diagnose, treat, and proactively address my health care needs.
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