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Record Release Form

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Patient Details

*Patient Name:

*Date of Birth:

Patient Address:

*Phone:

New Doctor/Practice:

*New Doctor/Practice Name:

Clinic Address:

Phone Number:

Fax Number:

*Information to Transfer:

If Other

*Today's Date:

*Signature

Redlynch Village Medical Centre is owned and operated by local General Practitioners providing comprehensive primary health care.

Redlynch Village Medical Centre acknowledges the Australian Aboriginal and Torres Strait Islander peoples as the first inhabitants of the nation and the traditional custodians of the lands where we live, learn and work.

Contact

info@redlynchvillagemedical.com.au

Shop 5 & 6, 2-4 Redlynch Intake Road, Redlynch, 4870

Open Hours

OPEN HOURS
Monday-Friday: 8am – 5pm
Saturday: 8am – 12noon
Sunday and Public Holidays: Closed AFTER HOURS: Please call House Call Doctor 135 566

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