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Medical Clinic e-Referral Registration
Thank you for choosing to register with Medmate.
Upon acceptance, your clinic will be enabled for electronic referrals. The medical clinic agrees to:
1. Installation of the e-referral software.
2. Informing patients about the electronic referral service.
3. Distributing the "E-Referral Guide for Practitioners" and requiring referring doctors to gain the consent of patients to participate in the e-referral service.
4. Patients receiving a referral directly by email or SMS.
5. Participating pathology and radiology providers accessing referral information for the purposes of statistical usage reporting and undertaking clinical investigations ordered by the referring doctor.
Medmate is free of charge for medical clinics.
Clinic Details
Clinic Trading Name
*
Registered Business Name
*
Australian Business Number (ABN)
*
Website
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postcode
Clinic Phone Number
*
Clinic Email Address
Email address to receive notifications
Software
Practice Management Software
Best Practice
Medical Director
Genie
ZedMed
Other
Other Software
Software Version Number If Known
Practice Manager
*
First
Last
Practice Manager Email
*
Practice Manager Mobile Number
Online booking provider
Providers
Preferred pathology provider
Preferred radiology provider
Consent
Name of Practice Manager
I agree to the Medmate
Terms and Conditions
and
Privacy Policy
.