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Admission Form

Burnside Hospital Stepney

Download here

Please download and fill out the editable PDF form

Email your completed admission form to stepneyadmissions@burnsidehospital.asn.au

Alternatively, download and print off your admission form and deliver to Burnside Hospital Stepney – 32 Payneham Road, Stepney.

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We're a not-for-profit community hospital with NO government funding.

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Any surgical or invasive procedure carries risks. Seek advice from an appropriately qualified health practitioner before proceeding with any procedure.
Any surgical or invasive procedure carries risks. Seek advice from an appropriately qualified health practitioner before proceeding with any procedure.