New Patient Registration

Please use this form to register as a new patient. Please note that this is NOT online booking for an appointment but registration as a new patient only. If you need an appointment please call us on 9349 9900 or book online on our website.

  • DD slash MM slash YYYY
  • Next of Kin (Required)

  • Emergency Contact

  • Signature required at appointment Read Terms & Conditions

Please note our billing policies have changed.

Nova Medical Centre Stirling is now a Privately billed medical centre except for Children under 16 years, and commonwelth concession card holders.

Please see "Fees" tab for more information