Please complete the form on this page prior to attending your appointment.
PAYMENT OF ALL ACCOUNTS IS EXPECTED ON DAY OF CONSULTATION.
Your records and personal information are treated with upmost confidentiality.
Consent is your agreement for Dr Halliday to provide you with treatment and care, including tests - referral for radiological investigations, medications and/or procedures that you agree to. Communication to your referring Doctor/family GP.
Billing purposes to Medicare, Health Insurance Funds and/or Workers Compensation Insurance.