Patient Forms

New patient form

To streamline your initial consultation, we ask that you complete the New Patient Registration Form online, prior to your appointment with Mr Vishal Pai.

This form contains questions about your health, demographics, insurance status and your medical history.

Please be assured that your privacy will be maintained at all times and that no information about your history or current episode of care will be shared with any third party without your prior consent.

Alternatively, click here for a downloadable PDF of our New Patient Registration Form.

Research forms

ACL research form

Knee replacement research form

Hospital admission forms

Please fill out the appropriate electronic form for the hospital prior to your admission date. This will ensure that that the hospital has all the necessary details to facilitate your admission and post-operative care.

Holmesglen Private Hospital or call 03 9567 9000

The Avenue Hospital or call 03 9526 5382

Epworth Eastern or call 03 8807 7100