Patient Registration Form

Dr Andrew Morris - Paediatric / Adolescent Orthopaedic 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 (if applicable)


FINANCIAL INFORMATION

Medicare does not completely cover the cost of your consultation. The consultation fee’s charged by Dr Elix are as follows and are payable IN FULL on the day of consultation by EFTPOS only. No cash is kept on the premises.

Initial Consultation - $200.00 ($75.05 rebate) Review Consultation - $110.00 ($37.70 rebate)

Deviation to the above fees may occur e.g. Second opinions and multiple injuries subject to the Doctors discretion. 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 if required. I understand that payment of the account in full is my responsibility (not applicable for accepted Workcover claims, Defence Personal, DVA card holders).

CONSENT

I consent to the release and communication of information from or to any other medical provider for the purpose of my ongoing clinical management, ongoing clinical care and audit.

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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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