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Dr Peter Vuillermin

YOUR TELEHEALTH APPOINTMENT

Dr Peter Vuillermin is Bulk Billing telehealth consultations and would like to provide the following possible item numbers and Medicare benefits that could be assigned to your telehealth consultation/s. You can discuss this with your doctor or doctor’s staff to be sure you understand what this means.

BULK BILL:  With patient/your consent, one of the Medicare Benefits (above) will be assigned directly to the provider (Dr Peter Vuillermin), with NO out-of-pocket cost.

·      If you require any further information regarding your appointment or guidance on how to access the Telehealth system, please call our friendly reception staff on 5222 2222.

Agreement and Consent:

I agree to the appointment being undertaken by telehealth and understand and agree to assign the Medicare Benefit Directly to Dr Peter Vuillermin, and understand that I am able to phone/email the practice for further information and assistance and request a copy of this information at any time

I/we understand and have read the above information and wish to continue with the appointment.