Patient Registration Form

Dr Ahmed Bajhau - Hip, Knee & Trauma Surgeon

Completing this online registration will email your information directly to the rooms. A copy is also sent to the email address nominated in the form.

Please complete at least one contact phone number.




If patient is a minor (under 18)


WORKERS’ COMPENSATION OR MOTOR ACCIDENT CLAIM
All unconfirmed workers compensation claims require payment upfront or written supporting documentation from the Employer accepting all costs of treatment.


FINANCIAL INFORMATION

Medicare does not completely cover the cost of your consultation. The consultation fee’s charged are as follows and are payable IN FULL on the day of consultation by EFTPOS only..

Initial Consultation - $200.00 ($76.15 rebate) Review Consultation - $110.00 ($38.25 rebate)

Deviation to the above fees may occur e.g. second opinions and multiple injuries. Other fees may be incurred for plaster casts, boots, injections, splints etc. It is a term of the provision of these services that the patient shall be liable for all debt collection fees and charges, including but not limited to agent fees, solicitor costs and disbursements in the event that collection is required.

I understand that payment of the account in full is my responsibility (not applicable for accepted Workcover claims, Defence Personnel, DVA card holders).

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We would love to hear from you. Please call us or make an online enquiry.

Darwin Private Hospital
Ground Floor
Rocklands Drive
Tiwi NT 0810


Monday – Friday
8:30 am – 5:00 pm

If you require urgent medical attention outside of these hours call triple 0 or present to either Royal Darwin Hospital or Palmerston Regional Hospital.


Darwin Private Hospital has a dedicated carpark with 2 hours free parking using a ticket pay and display system.


A bus stop is located at the front entrance of the hospital precinct. For timetables visit Transport NT or call 08 8924 7666.


Disabled parking bays are available. The clinic is fully accessible.

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