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Online Admission Form

Complete your Online Admission Form.

Welcome to our secure online admission form. Here you can fill in your relevant details and complete your hospital pre-admission online, conveniently and confidentially.

How long will it take me?

This form should take you approximately 30 minutes to complete. If you have any problems completing the form, please contact [email protected]

What information do I need?

Please have the following information at hand when you fill in your online pre-admission form:

  • Personal/next of kin details
  • Medicare card
  • Funding details (e.g. Private Health Insurance, DVA etc)
  • Benefit details (e.g. pension card)


By completing this form, I acknowledge that I have read and understood the information contained within the following:

Click below to open the Online Admission form: