New Patient Registration Form

Please use this form before your first consultation at our clinic.

If you can bring a completed form to your consultation it will save you a lot of time, and increase the reliability of the information we have about you, your health and your medications.

Patient Registation Form for General Practice
or Skin Cancer Check patients

Patient Registation Form for persons ONLY attending
our clinic for COVID-19 vaccination

clipboard clipboard

Microsoft Word Version

Microsoft Word Version


For further details of transfer of notes from other clinics please click here.



10 Hazelwood Road
Traralgon, Victoria 3844

03 4114 0210
FAX : 03 51740581 or
FAX : 03 4148 8660

Mon - Fri: 8:30 am - 5 pm
Closed 12:15-12:45pm Tues/Fridays

What's New:

The repeat prescription page is fixed and working.

We are now taking bookings for booster doses of adult Pfizer COVID-19 vaccines and for also Pfizer vaccinations for children aged 5 years and older.

If you have a cold, a cough, a fever, feel short of breath or have a sore throat, diarrhoea or vomiting please do not come in to the clinic - phone iSpot Clinic first so your condition can be managed appropriately.

iSpot Clinic

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