Download your Patient Admission Form

Please consider completing the admission form electronically via our eAdmissions portal.

Click here to complete your
admissions form online


eAdmissions is our preferred form of admitting patients. Paper admissions are still acceptable and should be returned at least 2 weeks prior to your admission via one of the following methods:

If you are attending a preadmission appointment, admission forms need to be received at the hospital at least 2 business days prior to your appointment.

If you have any questions while completing your Patient Admission Form, please call (08) 8202 7222.


Please see below for PART C of the admission form which should be completed only by maternity patients in the 34th week of gestation.

Printable Patient Admission Form

9 February 2016 / 1 MB / pdf

Download and print off your Patient Admission Form

Admission Form Section C - Maternity Patients Only

21 March 2018 / 3 MB / pdf

To be completed by maternity patients in the 34th week of gestation.

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