Please advise Dr Simons Rooms if you have:

a) travelled overseas within the last 14 days ;
b) have cold or flu like symptoms or
c) been in contact with a confirmed corona virus case.

As it would appear on your medicare card
DD/MM/YYYY
MM/YYYY
If so, describe briefly
1
If yes, please provide details
Please email reports of Radiology relating to your condition. Please note those who provide reports will be prioritised in relation to scheduling appointments.
If so, briefly describe the findings
I.e. latex, tapes, etc.
If so briefly describe

Payment
Initial consultation fee is $240.00 plus an additional fee of $50 – $200 for injection treatment on the day. Dr Simons may use the ultrasound, this cost is between $55 – $110. Subsequent 20 minute Consultation fees are $120.

Please Note:
We are not a bulk billing practice and accounts for services and supplements must be settled at the end of your consultation.
The consultation fee and Ultrasound are claimable through Medicare.
Dr Simons does NOT treat patients in relation to Workers Compensation or Insurance Claims.

We accept Visa, Mastercard, EFTPOS, cash.

Patient Information

We will remind you of your appointment 48 hours in advance via SMS on your mobile phone, if this is not confirmed by yourself 24 hours prior your appointment time your appointment will be cancelled.
If you do not attend a confirmed appointment a cancellation fee $120 will apply.Please do not wear any perfumes or aftershave as some of our patients are very sensitive to chemicals.We appreciate your understanding that we have a busy reception desk and request, to ensure accuracy, that all enquiries about treatment, supplements and any other questions for the doctor to be placed in writing via email, fax or post.
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