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If you are a new patient at Clements Medical we encourage you to complete this form and bring it in for your first appointment.

**Please Note - Effective 6th December 2021, This practice will offer a private billing system, and no longer Bulk Bill patients.  There will be medicare rebates applying to most services.  Practice fees are based on the length of complexity of the consultation.

This will help streamline your appointment and ensure you are able to begin your appointment as soon as possible.

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