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  • Gynaecology - New Patient Form

  • Personal Details

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  • FEES:

    FULL PAYMENT IS REQUIRED ON THE DAY OF CONSULT.

    PLEASE SEE FEES LISTED BELOW.

    PLEASE NOTE:

    PROCEDURE CHARGES, MIRENA REMOVAL AND/OR INSERTION,  COLPOSCOPIES AND IN ROOM PROCEDURES ARE IN ADDITION TO THE CONSULTATION FEES

    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.

    SURGERY:

    If you require surgery Dr Manisha Doohan operates at South Perth Hospital and St John of God, Murdoch. An Estimate of Cost for surgery will be issued to patients following their initial consultation. 

    Please Note: All BUPA Health Insurance patients requiring surgery with Dr Manisha Doohan will incur a fee of up to $500 for private surgery fees, this payment is due on the day of your consultation

     CANCELLATIONS:

    If you unable to attend your appointment you will need to give 3 BUSINESS DAYS notice of cancellation.

    If you DO NOT cancel the appointment within 3 BUSINESS DAYS you will be charged a fee of $50.00. 

    If you DO NOT arrive for your appointment you will be charge the FULL consultation fee of $300.00.

    In the event that your accounts is outstanding longer than 60 days, you will be responsible for any charges incurred, including any fees for a debt recovery agency.

     

     

     

    PLEASE NOTE: AS OF 31ST MARCH 2025 THERE WILL BE A PRICE INCREASE ON ALL DR MANISHA DOOHAN'S FEES 

      Item Number Fee
    Initial Consultation 104 $350
    Follow Up Consultation/Post Op  105 $170
    Initial Consultation - Telehealth 91822 $350
    Follow Up Consultation/Post Op - Telehealth 91823 $170
    Insertion of IUD/Mirena (patient to supply) 35503 $170
    Cervical Biopsy 35608 $170
    Procedure - Polypectomy 35611 $170
    Procedure - Cervical Polyp Removal 35611 $170
    Vulva Biopsy 35615 $170
    Colposcopy +/- Biopsy 35614 $170
    Endometrial Biopsy 35620 $180
    Pipelle 35620 $180
    Procedure - Excision of Vulva Lesion 31360 $300 
    Procedure - Pessary Vaginal Ring  N/A $85
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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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