Skip to content
A/Prof Stefan Kane
Practice
Appointments & Fees
Screening for Genetic Conditions
Laboratory Tests
Ultrasound Tests
Practicalities of Care
Online Registration
Common Pregnancy Concerns
Links
Contact Us
Menu
A/Prof Stefan Kane
Practice
Appointments & Fees
Screening for Genetic Conditions
Laboratory Tests
Ultrasound Tests
Practicalities of Care
Online Registration
Common Pregnancy Concerns
Links
Contact Us
Online Registration
To register for your appointment, please complete the form below.
Personal Details
Title
Title
Miss
Ms
Mrs
Dr
Mr
First Name
Last Name
Date of Birth
Occupation
Partner Details
Partner Name
Partner Date of Birth
Partner Occupation
Partner Mobile
Contact Details
Street Address
Suburb
State
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
Telephone Home
Telephone Work
Mobile
Email
Insurance Billing Details
Medicare Number
Medicare Reference
Medicare Expiry Date
Private Health Insurance
Do you have Private Health Insurance?
YES
NO
Fund Name
Membership Number
How did you hear about us?
How did you hear about us?
Privacy Statement & Consent
In order to provide you with the highest standard of obstetric care, I will ask for personal information from you. This information covers basic details such as your name, address and telephone number but it is also necessary to know about your general health and past medical or surgical events. Without this general health picture, I am unable to plan your care properly. Naturally, some of this information is of a personal nature and some of it might be regarded as ‘sensitive’ and not the sort of information that you would wish to be necessarily disclosed to others. We value the need to safeguard this information, and in accordance with the principles laid down in privacy legislation and the guidelines issued by the Australian Medical Association, we would like to assure you that:
I understand that the information collected will only be used to individualise and optimize my care.
I understand that it may sometimes be necessary to disclose some information to other doctors and health professionals involved in my care (midwives or physiotherapists most commonly). They are also bound by the same privacy obligations.
My health information will not be disclosed to anyone not associated with your treatment, without my express consent.
I may seek access to the information held about me and we will provide this access without undue delay.
Privacy Consent
I acknowledge that I have read, understood and agree to the privacy consent.
Submit
dr-stefan-kane-online-registration-01
dr-stefan-kane-online-registration-02
dr-stefan-kane-online-registration-03
dr-stefan-kane-online-registration-04
dr-stefan-kane-online-registration-05
A/Prof Stefan Kane
About A/Prof Stefan Kane
Common Pregnancy Concerns
Links
Make an Enquiry
Practice
Appointments & Fees
Screening for Genetic Conditions
Laboratory Tests
Ultrasound Tests
Practicalities of Care
Online Registration
Location
Contact
A/Prof Stefan Kane
Practice
Appointments & Fees
Screening for Genetic Conditions
Laboratory Tests
Ultrasound Tests
Practicalities of Care
Online Registration
Common Pregnancy Concerns
Links
Contact Us