Medical GP Skin Consultation Registration

  • Contact Details

  • Date Format: DD slash MM slash YYYY
  • Telephone Number

  • (An SMS reminder will be sent to your mobile 48 hours prior to your appointment)

  • Next of Kin

  • Account Holder

    (For patients under 18 years of age)

  • Medical History

  • Authorisation and consent to photography

    At all times, skin lab BY WPRS respects patients’ rights to privacy and informed consent for procedures within the practice, including photographic records. I understand that these photographs form an essential part of my medical record, as well as my pre-treatment and post-treatment assessment.

  • Date Format: MM slash DD slash YYYY
  • Financial Consent

    All patients will incur a fee which is payable in full at the time of consultation. Medicare rebates will be processed at the time of payment.

    Comprehensive Skin Consultation: $135.00 Medicare rebate: $75.75
    Extended Review Consultation: $115.00 Medicare rebate: $75.75
    Brief Review Consultation: $80.00 Medicare rebate: $39.10
    Minor Dermatological Procedures: $80.00 (Patient out of pocket full amount)
    Major Dermatological Procedures: $120.00-$180.00 (Patient out of pocket full amount)
  • Date Format: MM slash DD slash YYYY
  • SKIN LAB BY WPRS MAILING LIST

    Please provide your email address if you are interested in receiving our monthly newsletter, exclusive promotional offers and educational materials from time to time.

Subscribe To Our Newsletter

  • Date Format: DD slash MM slash YYYY

Subscribe To Our Newsletter

  • Date Format: DD slash MM slash YYYY