IVF Infusion

Have you had a Telehealth appointment with Highgate Health regarding receiving Intralipid?

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Before booking an Intralipid Infusions with us you need to have a bulk billed Telehealth consult - Please complete the below form.

Pre IVF Teleheath

Title *

Gender

First Name *

Last Name *Please use legal name as per Medicare (No hyphens please)

Date of Birth *

Mobile Number *no spaces please e.g. 0432123123

Email Address *

Any further information or comments.

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Medical Practice Privacy and Telehealth Consent Form

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