Online pre-admission

Hurstville Private Hospital online pre-admission

Thank you for choosing Hurstville Private Hospital.

Welcome to our secure online pre-admission form. Here you can fill in your relevant details and complete your hospital pre-admission forms online, conveniently and with confidential transmission of your information assured.

 

 

 

How long will it take me?

This form should take you approximately 30 minutes to complete and submit online. You can save the form as a DRAFT at any stage and return to complete it at a later time.

PATIENTS - CLICK HERE TO START

 

Need help? Click here for a step by step guide

Please have the following information to 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)

 

I acknowledge that I have read and understood the information contained within the following

Hospital booklet

Private Patient's Hospital Charter

Your right to privacy under the Privacy Act

 

I acknowledge that I have read and understood the information contained within the following

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?   

 

Rights and responsibilities

Compliments / Complaints brochure