Please complete the Acknowledgment of Financial Consent form below.

Alternatively, if you do no wish to complete the form online you can download a PDF of the form to complete manually here - Acknowledgement of Financial Consent Form, and return it by email to forms@oqld.au, by fax, or by mail. You may also bring the completed form and hand it to our staff at any time prior to your surgery.

Please contact us on 07 5212 7777 if you have any issues completing the form.