Forms

Even if you have been a patient of Dr Hummel’s for years, please would all patients attending this practice for the 1st time fill out the enclosed new patient information  .

It is preferable too that you arrange for your  medical information to be sent to this practice by filling out the medical release form ,as below and then send it in to use to send on . You may forward it directly to the practice concerned ,or to us. Those attending for the first time: please bring all your scripts, Medicare card and concession card with you.


New Patient Info

Arrange medical information for new patient

Medical Record Info

Arrange Medical Record Request and Consent of patient