Online Pre-Admission Form
Welcome to our online admission form. This form will allow you to fill in the relevant details required by the hospital for your admission, in the comfort of your own home or office. You can be assured of confidential transmission of your personal information with all information secured by encryption technology.
If you require any assistance completing this form through the portal. Please contact our patient pre-admission officers on (07) 4727 4444
As part of your pre-admission our nursing staff may contact you prior to your admission if they require clarification of any information.
This online admission should take you approximately 20 minutes to complete and submit. You can save the completed information at any stage and return to complete it at a later time.
Please have the following information at hand when you fill in your online admission:
Admitting Doctor, admission date, procedure date and procedure;
Personal/next of kin details;
Medicare card/Concession cards (e.g. pension card or safety net card);
Funding details (e.g. Private Health Insurance, DVA, Workcover etc);
Current medication and dosages;
If you are privately insured patient, it is essential that you check with your health fund to confirm your level of cover for your upcoming admission and understand any out-of-pocket expenses you may be required to pay.
By completing the online preadmission, I acknowledge that I have read and understood the information contained within the following:
- Hospital Information Booklet
- Australian Charter of Healthcare Rights
- Your right to privacy under the Privacy Act
I have read and understand my rights and responsibilities and how to make a compliment / complaint should I need to do so: