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Prioritising your care

Navigating dental concerns can often feel overwhelming, but you’re not alone. At Integrated Oral Surgery, we provide expert, patient-focused care that puts your comfort and well being at the forefront, ensuring you feel supported and confident throughout your treatment journey.

To provide you with the best possible care, we want to know more about you. Fill out our form and share insight on your medical history, concerns, and goals. We’ll get back to you with next steps about your initial consultation.

Patient Registration Form

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Medical History

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Privacy Policy

This clinic collects information from you for the primary purpose of providing quality health care. Federal Privacy Law requires your consent to this. We need your personal details and full medical history (which may include photographic records) so that we may properly assess, diagnose, treat and manage your health care needs. This means we will use the information you provide in the following ways:

  • Administrative purposes in running our medical practice, which may include confirmation of your appointment via SMS or email
  • Billing purposes - including, but not limited to, compliance with Medicare and the Health Insurance Commission requirements
  • Disclosure to others involved in your health care, including treating doctors and specialists outside this medical practice. This may occur through referral to other doctors, or for medical tests and in the reports of results returned to us following the referrals.
  • Disclosure to other doctors in the practice, locums and trainees attached to the practice for the purpose of patient care and teaching.
  • Emergency situations whereby medical officers/hospitals may require access to patient notes for treatment purposes.

I understand that:

  • I have read the above information and understand the reasons why my information must be collected
  • I am not obliged to provide any information requested, but that failure to do so might compromise the quality of the health care and treatment given to me
  • I am aware of my right to access the information collected about me, except in some circumstances where access might legitimately be withheld and that an explanation will be given to me in this circumstance
  • If my information is to be used for any purpose other than the above, this clinic will seek my consent prior
  • I consent to this clinic using my personal information in the ways outlined above
  • For security purposes the common area at this clinic is under video surveillance
  • At times our practice uses Artificial Intelligence dictation to convert your spoken words into text. This feature is designed to help our Doctors and treatment staff write notes, messages, or emails more efficiently.

Fees Policy

  • I understand that consultations are not bulk billed &/or not payable by private health insurance, and fees are payable on the day of consultation.
  • In circumstances where consultations or procedures are bulk billed, I assign the benefit to the provider who provided the services.
  • In circumstances where procedures are billed as 'No Gap', I give consent for Integrated Oral and Maxillofacial Surgery to bill the health fund directly on my behalf.
  • I understand that procedures in hospital must be paid for in advance, 7 days prior to surgery.
  • I understand that procedures in hospital will attract fees from the anaesthetist and the hospital, and that while Integrated Oral and Maxillofacial Surgery can assist me with an estimate of these fees, that I am responsible for obtaining accurate quotes from both the anaesthetist and the hospital.

Restore bone loss and rebuild your smile