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Patient Forms

For your convenience please find below a list of forms that you may require for your appointment.

If you prefer to fill them out at the practice prior to your appointment, please arrive ten minutes before your scheduled appointment time to do so.

Please note: If you do not attend your appointment a non-attendance fee may apply. This fee is $85.00 and not medicare rebatable.

New Patient Form

Our practice welcomes new patients. Fill one of these forms out if you wish to become one of our new patients.

Download New-Patient-Forms-2020.docx (70 KB)

Transfer of Records Form

Are you a new patient of Medicine On Second and would like your medical records transferred to us from your other practice.

Download Medical-Records-Request.docx (38.5 KB)

Medical Certificate for Motor Vehicle Driver

Download Medical-Certificate-Motor-Vehicle.pdf (413 KB)

Medical Form for Prospective Recreational Scuba Divers

Download SPUMS-Diving-Medical-Forms_2020.pdf (393 KB)

MyMedicare

Download mymedicare-fact-sheet.pdf (388 KB)

We're here when you need us.

To request an appointment, please click the HotDoc button below or
Call: (07) 5443 9455.

Book Appointment

Directions to Medicine on Second

Address: 50 Second Avenue, Maroochydore. QLD 4558