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Patient Forms
Prepare Your Form and Records Ahead of Time
Dr. Kuzinkovas and his team respect your busy timetable. We have designed this page to help minimize any unnecessary waiting time filling out the forms. We would like to focus on you rather than paperwork. To help us do this, when you come in for a personal consultation – please fill out and bring the following form and records to your appointment.
Please Bring The Following Items With You To Your Appointment:
- Print and complete the form shown below
- Bring it with you to your appointment
- Bring your Medicare and Insurance cards to each appointment
- Bring all your available records and test results (results of your blood tests, X-rays, CT scans, MRI scans, etc), prescriptions and over-the-counter medication that you are currently taking
- A list of all questions and/or concerns that you may have
- If you have any questions – please call us on: 1300 551 533
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1300 551 533
South Eastern Sydney
(Main Office)
Advanced Surgicare
Suites 501/502, Level 5
St George Private Specialist Consulting Suites
131 Princes Highway
Kogarah NSW, 2217
(entrance via South St)
Fax: 02 9588 9471
South Western Sydney
Advanced Surgicare
Macarthur Specialist &
Professional Consulting Rooms
Suite 114, Level 1, Building A, 4 Hyde Parade
Campbelltown, NSW, 2560
Fax: 02 9588 9471
North Western Sydney
Advanced Surgicare
Suite G3B, Ground Floor,
Norwest Private Hospital
9 Norbrik Drive
Bella Vista, NSW, 2153
Fax: 02 9588 9471
Western Sydney
Advanced Surgicare
My Health Medical Centre
Edensor Park Plaza
Corner Edensor and Allambie Rd
Edensor Park NSW 2176
Fax: 02 9588 9471