top of page

We're committed to a clean and safe facility. Submit your health declaration

Appointment:

reception@northern

specialistgroup.com.au

Tel: 1300 678 474

Fax: (03) 7049 4042

Kidney Physician

Consultation Checklist

Contract Signature

Reference Letter

If not already received by the doctor

Credit Card

Concession Card

If available

Drug Testing

Recent Investigations

Blood tests, Scan results etc

Appointment Day Checklist

Contract Signature

Referral Letter

If not already received by the doctor

1

Credit Card

Concession/Health Care Card

If available

2

Drug%20Testing_edited.jpg

Recent Investigations

Blood tests, Scan results etc

3

Prescription Drugs

Current Medication List

Fill template prior to day of appointment (Download Form)

4

Intensive Diabetic Care For Patients wit

Diabetes/Blood Pressure Record

Blood Pressure and Blood Sugar record if available. Fill template prior to day of appointment. (Download Form)

5

Doctor and Patient

Other Specialist Doctors

Details of other specialists involved in your care

6

bottom of page