Forms

Instructions

Download the form you need, fill in the form and bring it to the Medical Centre or post it to Gungahlin Medical Centre, 43 Hibberson St, Gungahlin 2912.

Request to access medical records

request-to-access-medical-records-or-results-2017

All patients have the right to access their medical records. To apply for a copy of your records, please download the form REQUEST TO ACCESS MEDICAL RECORDS.

Request to transfer patient records

button-transfermedrecordsrequest-to-transfer-patient-medical-history-2017-febTo request your records from a previous practice please download the form REQUEST TO TRANSFER MEDICAL RECORDS.

Form for new patients to provide information to the practice

Ibutton-newpatientformf you are coming to this practice for the first time, please download the NEW PATIENT INFORMATION FORM and bring it with you to your first consultation.