PATIENT CONSENT FORMS

New Patient
Registration Form

This form is for first time patients to the Palmerston GP Super Clinic.

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PMUCC Data Consent
Form

This form is for first time patients to the Palmerston Medicare Urgent Care Clinic.

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Influenza Vaccine
Consent Form

This form is for patients consenting to a Influenza vaccination.

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COVID-19 Consent
Form

This form is for patients receiving a COVID-19 vaccination.

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My Medicare Registration From

This form is for patients registering for My Medicare with our practice and their nominated GP.

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Iron Infusion Consent
Form

This form is for patients consenting to an Iron Infusion procedure. Please refer to your clinican if you have any questions.

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Intra-Uterine Contraceptive Device (IUCD) Insertion Consent Form

This form is for patients consenting to an IUCD insertion procedure.

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Excision of a Skin Lesion or Subcutaneous Lump Consent Form

This form is for patients consenting to an Excision procedure.

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Vasectomy Procedure Consent Form

This form is for patients consenting to a Vasectomy procedure.

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Implanon Insertion Consent
Form

This form is for patients consenting to a Implanon Insertion procedure.

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We Value Your Feedback

Your feedback is vital to helping us improve our services and ensure we deliver the highest standard of care. Whether you have suggestions for improvement, compliments about your experience, or concerns that need addressing, we encourage you to share your thoughts with us.

Your voice matters, and by providing feedback, you’re helping us create a better healthcare experience for everyone in the community.
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