New patient registration form

Use this form if you have not attended our clinic previously. It includes a health summary questionnaire and consent form. Please bring the completed form with you when you attend for your first appointment to save time.


Your Feedback 

We welcome your feedback at any time on any aspect of our services and facilities.



Transferring health records

If you will be attending Gisborne Medical Centre on a regular basis, we can best look after your health by obtaining information about your previous care. 

This form is your authority for your previous clinic to release health summary information to us.

Please complete this form and send it to your previous clinic. 

Got a question? Submit an enquiry!

We welcome your enquiries at any time, however we recommend you don't email us with any health related questions as this may compromise your privacy and confidentiality.


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Gisborne Medical Centre
16 Brantome Street
PO Box 59
Gisborne Vic 3437
P: (03) 54 28 33 55
F: (03) 54 28 30 28
For Life-Threatening Emergencies Call 000

© 2023 by Gisborne Medical Centre