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.
IF YOU HAVE TESTED POSITIVE TO COVID-19 IN THE PAST 7 WEEKS PLEASE CONTACT THE HOSPITAL IMMEDIATELY
Brisbane waters private hospital will continue to operate as per hospital policy and ANZCA Guidelines on Surgical Patient Safety for SARS-CoV-2 infection
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)
Acknowledgements
By completing this form, I acknowledge that I have read and understood the information contained within the following:
- Admission Information Booklet
- Private Patient's Hospital Charter
- Your right to privacy under the Privacy Act
- Informed Financial Consent
- Payment information
I have read and understand my rights and responsibilities and how to make a compliment / complaint should I need to do so?
- Your Rights and Responsibilities
- Compliments/Complaints: If you would like to raise a concern or complaint during your stay, please ask to speak to a Manager or Contact Us
Click below to open the Online Admission form: