Do you wish to be notified immediately of urgent pathology results or any deaths during the afterhours period?
Yes No
If yes, Sydney Medical Service 1300HOMEGP will attempt to contact the regular Medical Practitioner of the patient but in circumstances where contact cannot be made, the Principal Representative will be contacted. Please provide a further alternative contact in case the regular Medical Practitioner and Principal Representative cannot be contacted:
(Please note the Principal Representative or alternative nominee may be contacted in unsociable hours when required).
Please note that all information provided by on this Application for Corporate Membership which is not information in the public domain is for use by Sydney Medical Service 1300HOMEGP only and will not be disclosed to any third party except as is required by law.