ONLINE PATIENT REGISTRATION

Child Registration 0 - 15 Years of Age

Knowing details about your child’s medical history is important and forms part of vital medical records. We kindly ask you to complete the online registration 48 hours before your appointment. The link is in the appointment email we sent you at the time of booking the appointment. If you no longer have this email please let us know and we will resend it. CLICK HERE to complete the registration now.

All fields are mandatory, if you do not have the information please enter n/a for not applicable. For fields with numbers enter 0.

 

BIRTH CERTIFICATE

All parents (listed on the birth certificate) are required to sign the registration. If there is ONE PARENT on the birth certificate please bring it to your appointment as the doctor must sight it. Failure to do so may result in your appointment being rescheduled.

 

COURT ORDERS

If there are COURT OR DVO ORDERS in place please bring them to the appointment as the doctor medico-legally must review these records.

 

NON-ATTENDING PARENTAL CONSENT

If one parent cannot attend that parent is required to complete the Non-Attending Consent CLICK HERE

 

MEDICARE DETAILS

You are required to provide your child’s Medicare details including expiry and reference number. If you have not received these details enter please 0000000000.

 

MEDICATIONS, MEDICAL CONDITIONS

We require a list of medications including supplements. your child is taking. For breastfeeding mothers, we also require this information

Adult Registration 15+ Years of Age

It is important to know details about your medical history as this forms part of vital medical records. We kindly ask you complete the registration 48 hours before your appointment as this allows adequate time for the doctor to review these records.

Please note all fields are mandatory, if you do not have the  information please enter n/a for not applicable or for a field with numbers enter 0

If your are under the care of a specialist,  please arrange a referral letter outlining your medical history and documentation demonstrating it is safe for you to have a Tongue / Lip Tie.

MEDICATIONS

If you are any blood thinning medication you will need to see your GP to see if you can safely stop taking any blood thinning medication.

MEDICAL HISTORY

Please advise if you have any past medical history.

Queensland Tongue Tie Clinic Locations

UNDERWOOD

SATURDAY BY APPOINTMENT

SPRING HILL

MONDAY TO WEDNESDAY AFTERNOONS & ALL DAY THURSDAY BY APPOINTMENT

TOOWOOMBA EAST

FRIDAY BY APPOINTMENT