Patient Registration Form

Please complete this form if you are a new patient to Ultrasound Care or if your details have changed since your last visit.  Alternatively, if you prefer, you may complete this form at our practice when you attend for your appointment.


Address
Level 2
15 Bowden Street, Alexandria NSW 2015

Address
Suite 1603, Level 16
101 Grafton Street, Bondi Junction NSW 2022

Address
Ground floor
170 Pacific Highway, Greenwich NSW 2065

Address
Suite 3, Level 7
139 Macquarie Street, Sydney NSW 2000

Address
Suite 1
20 Bungan Street Mona Vale NSW 2103

Address
RPA Medical Centre
412/100 Carillon Avenue, Newtown NSW 2042

Address
2 Hay Street, Randwick NSW 2031

Address
Sydney Adventist Hospital
Level 3, 185 Fox Valley Road, Wahroonga NSW 2076

PATIENT CONSENT TO RELEASE INFORMATION

Patient reports are released to the following people:

  • Your referring doctor
  • Your GP or Specialist
  • Hospital Emergency Department Doctors
  • Your Antenatal Clinic or Birthing Centre
  • Medicare (when requested and legally required for audit purposes)

Ultrasound Care and SAN Ultrasound for Women use the same Picture Archiving and Communication System (PACS). Images performed at these practices are available for review by the sonologist interpreting your study.



FILMS & RESULTS

When is your next doctor's appointment?

Note: Because of Medicare requirements patient reports cannot be withheld from referring doctors.

Which additional doctors or clinics would you like a copy of your report sent to?