Patient Registration Form
If you are new to Regency Medical Clinic (Sefton Park, Northfield or Prospect), please print and complete the download form and bring with you to your first appointment.
This practice is committed to maintaining the confidentiality of your personal health information. It is the policy of this practice to maintain security of personal health information at all times and the practice adheres to principles of the RACGP and Australian Privacy Principles. Our staff would be happy to answer any questions you may have regarding our privacy policies.