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- Contraception
- Current Patients
- Mental Health
- New Patients
Change or removal to third party consent form
Use this form to change the details of a previously nominated third party or to remove their consent to access your health information or manage appointments.
DASS form
If you are coming to talk to your GP about depression or anxiety please fill out the DASS form before attending your appointment. This is a standardised questionnaire to help your GP understand your current condition and how he or she can help.
Iron Infusion Clinic Referral Form
If you attend another practice and your GP has requested an appointment with Dr Rochelle for your iron infusion please make sure your GP has completed and provided you with a copy of this iron infusion referral form.
IUD Form
If you are thinking about an IUD contraceptive please read this information fact sheet and discuss this option with your doctor at your next appointment.
MedicineInsight Opt Out Form
Complete this form if you wish to opt out of having your health information used in the MedicineInsight data program. This will ensure your details are not included in future data extracts.
MedicineInsight- What is it?
MedicineInsight is a national primary health care data program run by the Australian Commission on Safety and Quality in Health Care (the Commission) in partnership with general practices across Australia.
New Patient Pack
If you are a new patient with us please download this patient pack to find details on our services and procedures, fees, appointments and other important information about Blackbutt Doctors Surgery.