Get East Melbourne Day Hospital

Filling out the East Melbourne Day Hospital admission form online can be straightforward when you follow the right steps. This guide will provide you with detailed instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to successfully complete your admission form.

1. Press the 'Get Form' button to access the admission form and open it.
2. Begin by entering your title, surname, and given name in the appropriate fields to identify yourself.
3. Input your address and postcode accurately to ensure proper communication regarding your admission.
4. Provide your phone number, including mobile, home, and business, to facilitate contact.
5. Select your gender and fill in your date of birth to complete your personal details.
6. Indicate your marital status and provide your weight, height, and country of birth for medical records.
7. Specify whether you are an Australian resident and list the language spoken at home.
8. If applicable, state whether you require an interpreter and if you identify as Aboriginal or Torres Strait Islander.
9. Enter your Medicare number, the position on the card, and the expiry date for healthcare verification.
10. Fill in the next of kin's name and phone number, as well as the relationship to ensure emergency contacts are readily available.
11. For the pickup person, provide their name, phone number, and relationship to you.
12. Fill out the medical history section, checking any relevant medical conditions and providing necessary details on allergies, past surgeries, and current medications.
13. If your admission involves work cover or transport accident commission, fill in your employer details, contact name, and claim number.
14. Review all information for accuracy, save your changes, and choose to download, print, or share the completed form.

Complete your admission form online today to ensure a smooth process for your visit to East Melbourne Day Hospital.