New Patient Registration Form - Westwood Medical Centre 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section A: Personal Details. Fill in your title, given name, middle name, preferred name, date of birth, last name, and gender. Ensure all fields are completed accurately.
3. Continue by entering your Medicare number, reference number, expiry date, work phone, mobile number, postal address, home phone, and email address.
4. Indicate if you identify as an Aboriginal or Torres Strait Islander by selecting 'Yes' or 'No'.
5. Move to Section B: Concessions. Provide your pension number and any relevant health care card details.
6. In Section C: Emergency Contact, list your next of kin's name and relationship along with their contact information.
7. Fill out Section D: Ethnicity by providing your country of birth, year of arrival in Australia, ethnicity details, and spoken language.
8. Section E: Health Information requires you to disclose any allergies or medical conditions. Answer questions regarding immunisations and interpreter needs.
9. Finally, review Section F: Authorisation. Indicate your preferences for receiving health reminders and how you heard about the practice before signing and dating the form.

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