Patient Information

Please complete this form and our rooms will contact you within 1 business day.

Name

First Name

Last Name

Date of Birth

Contact Phone Number

Preferred consulting location

St Vincent's Clinic, Darlinghurst

Mater Clinic, North Sydney

Email Address

Medicare Number

Health fund (hospital cover)

Name of fund and membership number

Referring Doctor

Area of concern

Hip - Right

Hip - Left

Knee - Right

Knee - Left

Other - please add details below

Please add details regarding your area of concern

How did you hear about Dr Oh?

GP / Specialist / Emergency / Physio / Word of mouth / Internet / Other (please add details below)

How would you like us to contact you?

Phone

Email

Dr Oh will spend time with you to obtain a full medical history of your problem, perform a detailed examination and review your imaging.

If you require surgery, Dr Oh will discuss this with you at length.

Please wear clothing that allows for examination of your hip, knee or other problem joint.

Referral letter from your doctor. This referral allows you to claim a portion of your consultation fee through Medicare and gives Dr Oh important information regarding your condition
Medicare card, DVA card, pension card
Details of private hospital insurance (if applicable)
Third party or Workers Compensation claim details (if applicable)
List of medications
Recent scans and reports - xrays / CT / MRI.

If you do not have a recent xray within the last three months, please see your GP to organise appropriate imaging prior to your appointment.

You will be asked to complete a registration form which has important demographic information, and a past medical history form.

Please arrive 10 minutes early for your first appointment to complete a registration form and health questionnaire.

Please call our rooms during business hours and provide at least 2 days notice for any cancellations. We appreciate your consideration.