Consent to Policies
The form below is to be completed
by the patient if 16 years of age or older and their nominated Account Holder (a parent/guardian), or if younger, by the patient's parent/guardian.
to accept the offer of a new patient appointment
upon the start of each new referral, or if your child has an indefinite or 3-month referral, at least once per year during the healthcare relationship.
to show your acceptance and agreement to the policies, including, as amended from time to time, the requirements, terms and conditions and your responsibilities in your healthcare relationship with an associated provider and your request for and acceptance of all associated healthcare and administrative services judged necessary by your provider.
The policies are published on this website in the "Policies" menu and are also explained, summarised, referenced or linked in the Booking Emails and other written communications sent to patients or their parents or guardians. It is the responsibility of the patient, parent, or guardian to ensure they understand these policies and their responsibilities and are aware of any changes to them.
To ensure this understanding, it is important to seek any needed clarification from Prosper Paediatrics and, if necessary, to have them translated into your preferred language.
The Policies are established to ensure Medicare and other relevant legal compliance and to assist in the sustainable, efficient, cost-effective provision of excellent healthcare services.