• This medical practice collects information from you for the primary purposes of providing quality health care. We require you to provide us with your personal details and medical history, so that we may properly assess, diagnose, treat, and be proactive in your health care needs.
• We will use the information for: Administrative purposes and Billing purposes (Medicare/Health Fund/Third Party). We also utilise an overseas transcription service to enable efficient correspondence, and they follow strict confidentiality and ethical practice, as agreed with our practice.
• I give my authority for the release of information to my referring Doctor, General Practitioner, treating Physiotherapist, Hospitals and other interested parties in association with my visits and care organised by Prof Krishnan and his office.
• Procedures including administration of injections in rooms incur additional fees. We will always inform you prior when this procedure is indicated.
• I understand that the account is my responsibility and must be paid in full on the day of consultation. By signing below, I assign my benefit and authorise Prof Krishnan and his rooms to send my Medicare Benefit online.
• I understand that any last-minute cancellations (within 24 hours) or “no shows” without valid reason will be charged $90 non-refundable amount and must be paid prior to any further appointments being made.
