Patient Information Form | Harbour Neurology

Terms and Conditions

1) I agree to pay the doctor’s fee before or immediately after consultation (no bulk billing). If covered by CTP, Workers’ Compensation, iCare, or other insurance, I will pay the doctor’s fee before or immediately after the consultation unless your insurer has pre-approved payment before the consultation in writing to us.     2) Harbour Neurology utilises ClinicToCloud’s Patient Portal. We encourage patients to use this portal to maintain their personal information and access letters and invoices.     3) I authorise Harbour Neurology to document my medical history, conditions, and management.     4) I authorise Harbour Neurology to obtain relevant information from other medical practitioners, healthcare providers, and My Health Record.     5) I authorise Harbour Neurology to share relevant information with other medical practitioners, healthcare providers and My Health Record.

New Patients: Please complete this form, and we will contact you to arrange an appointment
Existing Patients: Please call or email to arrange your next appointment

Phone: (02) 9900 5500
reception@harbourneurology.com.au

Level 6/53 Walker Street
North Sydney 2060

EDI: HealthLink (harbourn)
or Medical Objects

New Patients: Please complete this form, and we will contact you to arrange an appointment Existing Patients: Please call or email to arrange your next appointment

Phone: (02) 9900 5500 reception@harbourneurology.com.au

​​Level 6/53 Walker Street North Sydney 2060

EDI: HealthLink (harbourn) or Medical Objects

New Patients: Please complete this form, and we will contact you to arrange an appointment
Existing Patients: Please call or email to arrange your next appointment

Phone: (02) 9900 5500
reception@harbourneurology.com.au

Level 6/53 Walker Street
North Sydney 2060

EDI: HealthLink (harbourn)
or Medical Objects