Please, make sure you have contacted us to book an appointment before you fill out the below new patient registration form.
The medical centre does not accept cash payments.
Please contact us to book an appointment.
We need to collect personal information from you so we can give you quality health care, and we need your permission to collect and keep this information.
You will be asked for some information, such as personal, family and medical details, so we can assess and plan your care. As part of this care plan, your general practitioner and/or nurse may recommend that you are referred to a health professional or program. In this case, we will discuss this plan with you, and get your agreement before giving any of your information to another party.
A relationship of trust and confidentiality between you and your GP and other TLC Medical Centres staff is important. In our commitment to your care, and by law, we must ensure that your information stays private.
We will also not disclose any of your information (including whether or not you are a patient at TLC Medical Centres to members of your family or other individuals enquiring about you, unless you agree to this).
We appreciate confidentiality is very important, but there are times when we may have to share certain information, for example if you are at risk of becoming significantly unwell. If this is the case, we will discuss and explain this with you first, before any information is given out.
I have read the information for the collection and use of my personal information and understand why my information must be collected. I also know TLC Medical Centres has a Privacy Policy that conforms to the Health Records Act 2001 and all other relevant Government laws and regulations. Some of the participating agencies are also required to comply with the Freedom of Information Act 1982. I understand that I do not have to give information, but if I don’t this might limit the range of services available to me. I understand that I can ask to see the information collected about me, and that I can ask for changes if I believe it to be wrong. I understand that I may not be given access in some cases, but I will be told why. I understand that if my information is to be used for any reason other than the above, I will be told why and given an opportunity to consent, if I agree.
Please contact us for an appointment before filling the form.