All Appointments Phone:

07 3831 9777

Brisbane Hip Clinic
141 Warry Street
Fortitude Valley QLD 4006

Surgery of the HipJoint

Forms

To assist us in providing you with a high quality service we recommend you complete the questionnaires accurately. The information provided assists us in making recommendations about the treatment of your hip condition. Should surgery be planned, the General Health Questionnaire will be forwarded to your anaesthetist to assist in the safe planning and conduct of your anaesthetic.

 

If you are a new patient to the Brisbane Hip Clinic, please complete both the "Patient Registration/ General Health Questionnaire" and also the "Hip Function Questionnaire".

 

PLEASE BRING ALL PREVIOUS XRAYS AND SCANS TO EVERY APPOINTMENT

 

Please save and return the completed questionnaires by email to office reception:

 

reception@brisbanehipclinic.com.au 

 

 

 

© A/Prof Patrick Weinrauch. Brisbane Hip Clinic. 05/2016.