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Dr Timothy WrightDr David LoganDr Paul PepperDr Sean FerenczDr Nicole OrganDr Nicole OrganDr Tony AzziDr Andrew BruntonDr Ed BatemanDr Lyndal Harborneother
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Hunter Valley PrivateLake Macquarie PrivateCharlestown PrivateNewcastle PrivateGosford PrivateLingard PrivateWarners Bay PrivateNewcastle Endoscopy CentreOther
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Name and telephone numbers of your doctors (GPs and Specialists)
Do you give your consent for me to contact your other doctors if required? (to provide you with the safest anaesthetic your anaesthetist may need to contact your other doctors to obtain test results, specialist letters, or other information. This allows better understanding of your health, meaning your anaesthetic can be individualised appropriately)
Your anaesthetist will receive all the information submitted via this questionnaire. Depending upon your answers, your anaesthetist may decide to contact you to obtain more information, or simply to discuss particular aspects of the anaesthetic. Alternatively, your anaesthetist may be satisfied with the information submitted and be ready to proceed with your anaesthetic as is.
By submitting this form you confirm the information provided is true and correct to the best of your knowledge and can be relied upon by your anaesthetist in making clinical decisions.
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Now please take the time to complete the Patient Questionnaire to provide Dr Rothwell with important information he requires to provide you with the best care.
PO Box 437, New Lambton, NSW 2305
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