Appointment Confirmation

How can we help you today?

Please complete the form below in order to confirm your appointment.

If choosing a TELEHEALTH appointment, please note that if you've had NO IN-PERSON attendance in the last TWELVE (12) months, a PRIVATE fee will apply with NO MEDICARE REBATE.

Help US to help YOU!

Thanks for taking a moment to help us provide the best care possible!

Please answer these questions for the person attending the appointment , whether that is:

yourself
your child
or other relative

Fee Policy

Please note the following:

General Practitioners are PRIVATE BILLING - for both telehealth and in person consultations, a FEE WILL APPLY (a rebate will be issued on payment/where applicable)!
BULK-BILLING is UNAVAILABLE on weekends, regardless of fees arrangements you may have with your GP.
A CANCELLATION FEE is charged if you cancel your appointment with less than TWO (2) hours notice.

For more detailed information, click below before completing your confirmation:

CLICK HERE to check FEES

INFECTION RISK ASSESSMENT

OFFICE USE ONLY:

Surname

First Name

Date of Birth

YOUR EMAIL ADDRESS:

Please select which (if any) of the following symptoms you are experiencing (you can tick more than one box):

Have you tested positive for COVID-19 (via either RAT or PCR) in the last SEVEN (7) days?

Would you prefer a TELEHEALTH consultation? (NB: if this is your FIRST visit OR you require a PHYSICAL EXAMINATION, you MUST attend IN PERSON, or if you have not attended CSMP in person in the last TWELVE (12) months. Please choose an option below:

FEES:

I have read and understood:

my GP and CSMP's fee policy, and that billing is at the discretion of the GP I attend today
CSMP is a CASHLESS practice
Bulk-billing is NOT AVAILABLE on WEEKENDS, regardless of fee arrangements I may have with my regular GP.

MASK REQUIREMENTS:

I understand that I will need to wear a mask if I (or the patient attending) have a:

FEVER
COUGH
RUNNY NOSE/SNEEZE
SORE THROAT

COVID and OTHER COMMUNICABLE CONDITIONS

I understand that my GP may require me to perform a RAT (Rapid Antigen Test) or move this appointment to TELEHEALTH at their discretion.

How can we help you today?

Help US to help YOU!

INFECTION RISK ASSESSMENT

CONTACT

ADDRESS

HOURS