New Patient Registration

Have you ever been seen by one of our psychiatrists before? *
If you have been seen before you will already have a patient login and DO NOT need to register again, you can simply book online. To access the patient booking login click here: https://patientportal.clinictocloud.com.au/login
 
Your username is your e-mail address and you should have the password in a previous e-mail from "Clinic to Cloud" or you can reset your password at the login.
 
Registering again as a new patient will only delay your ability to book an appointment.
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Gender *
Which practitioner are you registering with (see referral criteria here)? *
Please note that Jamie Marshall is unable to accept new referrals at present.
I consent to the use of my Medicare number for billing and claiming by the practice, and to access my 'My Health Record' to support clinical care. * 🛈
I have read and understood the practice privacy policy*

I confirm that I am the person named above and I am registering on my own behalf. * 🛈
Privacy note: Your personal information is protected by law, including the Privacy Act 1988, and is collected by the Australian Government Department of Human Services for the assessment and administration of payments and services. This information is required to process your application or claim. Your information may be used by the department, or given to other parties where you have agreed to that, or where it is required or authorised by law (including for the purpose of research or conducting investigations). You can get more information about the way in which the department will manage your personal information, including the DHS privacy policy.
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