All information in confidence – MUST COMPLETE (*)
When you have a medical specialist care for a specific diagnosis we need their approval to proceed. This is to protect you from avoidable complications that we may be unaware of.
I certify that the above is true and correct. I realize that withholding information about my medical history could result in serious injury to me or harm to those involved in my care.
* Enter the characters below:
DR. ZION CHAN ALL RIGHTS RESERVED
WILLIAM BLAND CENTRE - SUITE 803, LEVEL 8, 231 MACQUARIE STREET SYDNEY NSW 2000
CALL US: 1300 DRCHAN (372426)
FIND US ON FACEBOOK