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Townsville

Townsville DAY SURGERYABN: 95 098 766 888 ACN: 098 766 8881 Martinez Avenue, West End, QLD 4810 Phone: 07 4725 4500 | Fax: 07 4725 4566 Email: Hours Monday to Friday 7am to 6pm Saturday by appointmentPRE-ADMISSION INFORMATION AND PATIENT REGISTRATION FORMThis form should be returned as soon as possible and no later than a week prior to your admission date . YOUR ADMISSION INFORMATION:ADMISSION date : _____ / _____ / _____ADMISSION TIME: _____FAST FROM: _____PLEASE READ AND KEEP FOR YOUR INFORMATIONB efore your admission:The date and time of your surgery is arranged through your Surgeon s Rooms. please contact Surgeon s rooms directly if you are unsure. Plan to have someone drive you to Townsville Day Surgery on the day of admission.

PLEASE READ AND KEEP FOR YOUR INFORMATION Before your admission: The date and time of your surgery is arranged through your Surgeon’s Rooms. Please contact Surgeon’s rooms directly if you are unsure.

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