Please read the below information before proceeding to the telehealth consult with Tim.
YOUR TELEHEALTH
APPOINTMENT
PAYMENT FOR YOUR TELEHEALTH APPOINTMENT/S are to be made by card over the phone IN FULL and ON THE DAY- please call the rooms on 5222 2222 after your Telehealth to make payment. PLEASE NOTE: Follow-up appointments will not be booked until payment has been made.
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 the above phone number.
Terms
- Payment of an account in full is required on the day of all appointments.
- The Account Holder accepts full liability for Medicare claims
which are rejected. - Monthly account keeping fees may be imposed on overdue accounts.
- In the event of the Account Holder being in default of their obligation
to pay and the overdue account is then referred to a debt collection agency,
and/or law firm for collection, costs and commissions incurred will be payable by the account holder. - Reference to the Account Holder includes reference to his heirs’
executors and permitted assigns and where there is more than one, shall include
reference to each of them jointly and severally. - The Account Holder accepts liability for payment of all accounts
incurred by them for the period until the Account Holder advises in writing to
the contrary. - The Patient (your child) must be in attendance for all appointments to be eligible for a Medicare Rebate.
Agreement and Consent:
I agree to the appointment being undertaken by telehealth and have read the information above and understand that there will be fees involved that need to be paid in full. If the telehealth appointment is Bulk Billed, I understand and agree to assign the Medicare Benefit Directly to the Practitioner. I understand that I am able to phone/email the practice for further information and assistance at any time.
I have read the above information and wish to continue with the appointment.