PATIENT INFORMATION AND FORMS

Patient Information and Forms

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Forms

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Request for Medical Records
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New Patient Information and Consent
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Musculoskeletal Pain Assessment Form
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Back Pain Questionnaire
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Cleveland Medical Fees
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New Patients

If you are a new patient at Cleveland Medical, you can complete our new patient paperwork before your appointment.


Print our New Patient and Consent Form

Appointments

Appointments for consultations are booked for 20 or 30 minutes and are available online.


Every effort will be made to accommodate your preferred time and GP, if you are having trouble finding a suitable appointment online, please contact our reception.


Emergencies will always be given priority.

Please request a longer consultation (30 - 40 minutes) if required. 

We endeavour to run on time but emergencies occasionally make this unavoidable. 


We are sorry if at times, you are kept waiting. Some appointments take longer than anticipated. At some time, it may be yours. 


Our reception staff will inform you of any delays.


Please advise our reception staff if a translating and interpreter service (TIS) is required.

Fees and Billing Arrangements

Cleveland Medical is a private billing practice however, children four years and under, DVA gold card holders and government funded vaccinations are bulk billed. 


Payment is required at the time of consultation, preferred payment options- Debit or EFTPOS.

Accounts will not be issued.


If you are a patient of the practice and have lost your job, or facing financial hardship please let us know.


The AMA fee structure forms the basis of our billing policy and is available at reception upon request. Fees are based on time taken and procedures done, not necessarily booked time. Additional costs may be incurred for specific tests, procedures and other treatments.

Repeat Prescriptions

Appointments can be made for all repeat prescriptions for review and management of your medical condition. Evey 2nd Thursday we run a BB script only clinic.

Call reception to arrange for a repeat of your current prescription. 

 

Ongoing Referrals

Requests for ongoing referrals for specialists and other allied health providers are available without scheduling an appointment provided our doctors have previously issued a referral to the same provider for the same condition and the request is within an appropriate time frame. Call reception to arrange a referral.

Telephone Access

Telehealth appointments are now available for some consultations - phone reception to book.

Test Results

All results need to be followed up. An appointment should be made to discuss results unless directed otherwise by your Doctor. Book your appointment online or via reception to access results.

Health Records Management

Our practice is committed to preventative care. We may issue you with a reminder notice from time to time offering you preventative health services appropriate to your care. If you do not wish to receive reminders for appointments or preventative health please advise reception staff. Please advise your doctor if you require a My Health Record (digital health record).

Electronic Communication

It is the policy of our practice to communicate via electronic means in accordance with the privacy Laws however it is not possible to guarantee that electronic communications will be private. We use an SMS system to confirm patient appointments and to send health reminders. Please advise reception if you do not wish to be contacted via electronic means.

Online Appointment

Appointments can be made online 24 hours a day via our website www.clevelandmedical.com.au or via the HotDoc App (which can be downloaded from the App Store or Google Play). Should you be having difficulties with making an appointment online; please contact our reception team or the Practice Manager. 

Confidentiality

Your medical record is a confidential document. It is the policy of our practice to maintain security of personal health information at all times and to ensure that this information is only available to authorised members of staff. We abide by the 13 Australian Privacy Principles available at https://www.oaic.gov.au/privacy/australian-privacy-principles/read-the-australian-privacy-principles. A copy of our privacy policy is available at reception. Please see reception to access your personal health information.

Reminder System

Our practice is committed to preventative care. Your doctor will seek your permission to be included on our reminder system. We may SMS or post you a reminder notice from time to time offering you preventative health services appropriate to your care or reminding you that a health related issue is due to be reviewed. Please note that it is our duty of care to remind you of health related reminders such as pap smears and skin checks. If you do not wish to be a part of this system please discuss this with your doctor.

Updating Records

We request that if any of your contact details have changed (including emergency contacts) that you advise our staff immediately so that your health record can be changed.

Care Outside Normal Opening Hours

Should you require urgent medical attention outside normal clinic hours National Home Doctor Service can be contacted on 13 SICK (13 7425). Should you require further information please ask one of our reception staff. Should your after-hours medical issue be an emergency please call the ambulance service by phoning 000.

After-hours care is also available at the Redlands Public Hospital 07 3488 3111, or privately at Greenslopes Private Hospital 07 3394 7111 and South Brisbane Mater Private 07 3163 8111.

Transfer of your Records

Cleveland Medical will send a copy of your Full Health Summary free of charge to your requested GP.

We will also upload your medical information to “My Health Records” if we have access. This can then be accessed by hospitals or other Doctors if needed. Pathology results can be obtained directly from relevant Pathology companies. 


If you require transfer of your Complete Health Record there is a fee.

 

  • Complete Health Record electronically transferred $30
  • Complete Health Record electronically transferred digitally $80

 

Cancellation and No-Show Policy

We understand that situations arise in which you must cancel your appointment. If this instance arises, please provide us with more than 24 hours’ notice.


This will give the possibility for another person, who is waiting for an appointment, to be scheduled in your place. In view of our commitment to patient care, we would like to provide adequate appointment availability to our patients, to cater to their health needs and busy lifestyles. 


Patients who do not show up for their appointment without calling to cancel will be considered as a ‘no-show’. A no-show will also incur a $25 fee. Patients who have a no-show of three (3) or more times in a 12-month period, may not be given priority for future appointments. A third No-Show Fee of $50 will apply.


The Cancellation and No-Show Fees are the sole responsibility of the patient and must be paid in full prior to, or on the patient’s next appointment. In unavoidable circumstances, the fee can be waived although this is subject to Management approval.


Cleveland Medical firmly believes that good physician/patient relationship is based upon understanding and good communication.


Cancellations and no-shows are monitored and marked accordingly in the appointments schedule and these patients are followed up as appropriate. Attempts to contact patients that fail to attend appointments are documented in the appointment notes.

Your Rights

We constantly strive to provide our patients with the best possible health care. If you have a problem we would like to hear about it. Please feel free to talk to your doctor or the practice manager. Alternatively, you may prefer to write to us using our complaints form or suggestion box located in the waiting room. If you feel your complaint has not been adequately handled or resolved by the practice, please contact The Office of The Health Ombudsman:

Phone: 133 OHO (133 646)

The National Privacy Commissioner is able to receive complaints concerning privacy issues. Complaints will have a response within 28 days. 

National Privacy Commissioner:
GPO Box 5218
Sydney, NSW 2001
Privacy Hotline: 1300 363 992

Members of the public may make a notification to Australian Health Practitioner Regulation Agency (AHPRA) http://www.ahpra.gov.au/ (AHPRA) about the conduct, health or performance of a practitioner.
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