173 Strickland Crescent
Deakin ACT 2600

Telephone 02 6281 8100

 

Calvary John James Hospital

LCMHC HomeLCMHC Home

Admission Pack

Your doctor will have provided you with an admission pack that needs to be completed and returned to the hospital to confirm your booking.

If you have not received this paperwork please contact Calvary John James Hospital, main reception on (02) 6281 8100 and we can either post this document to you or can take your details over the phone. Please have your Medicare card and private health insurance details at hand.

If you are having difficulty in completing this form or have any queries please contact the main reception of the hospital on the number above.

The admission pack provides us with the information to finalise your booking and to let us know about any special care you may require. It provides you with information about your hospital bill and how you can pay your account and general information about the hospital to assist you whilst you are with us. It also provides you with information on how we protect your privacy and information on your rights and responsibilities whilst in hospital.

There are three forms in the admission pack:

  • Patient registration details
  • Patient health sssessment
  • Privacy consent / Rights and Responsibilities acknowledgement

Tear off the forms along the perforated lines and return them to the hospital to confirm your booking. You should retain the rest of the package for your information.

Forms can be delivered to the hospital by:
1.  Fax: (02) 6281 8999

2.  Post: (no postage required)
     Admission Office
     Reply Paid 131
     Calvary John James Hospital
     Deakin West  ACT  2600

3.  Hand Delivered to:
     Main Reception, 173 Strickland Crescent, Deakin