New Patient Form

CQ Medicentre Is A Mixed Billing Practice

Please review our fee’s section for Further information.

Consultations are by appointment only and payment on the day is required

Please note we do not store radiology Film. If you require your xrays please make sure you take them with you at the end of your consultation.

Please click below to download our Patient Registration Form.

You will need to print, complete & bring this form into the practice prior to your appointment.