Patient Forms To Download

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Below are the forms we request you download and fill in before attending your appointment at West Gippsland Paediatric Group.

You can return email, post or fax the forms to the relevant contacts below.

Please note the clinic hours are 9am to 5pm. If you require assistance, or have a question, please give us a call. We are only too happy to help.

Hours: Clinic hours are 9am-5pm and Monday-Friday

Address: 7 Sargeant Street, Warragul, Vic 3820     

Postal Address: PO Box 855, Warragul, Vic 3820     

Phone: 03 5622 1500  Fax: 03 5622 1600     


It is the responsibility of the family to ensure all contact details are kept up to date.

Download Your Yellow Paediatric Appointment Information Form Here

As a new patient of the West Gippsland Paediatric Group, we ask you to fill out both sides of the yellow form before your initial consultation. 

Download Your Green Patient Consent Form Here

This is the form we ask you to fill out to collect your personal and health information.

Download Your Patient Privacy Form Here

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