MetWest Surgical

In order to ensure your admission is streamlined, we request that you complete this hospital pre-admission form at least 2 weeks prior to your admission date.

  • Please ensure you are able to complete this form uninterrupted
  • You will need approximately 20 minutes to fill in this form
  • Fields that are mandatory are marked with an asterisk (*).

Important! To assist you with this process, please have the following information at hand.

  • Your personal details and support person details
  • Emergency contact details (Next of Kin /Carer)
  • Medicare card
  • Health Fund details
  • Specialist details, including admission date and procedure name
  • List of medication(s) and dosage

When you have completed filling in your admission form, you will be prompted to ensure that your details are correct before continuing.

For appointments and enquiries please phone  02 9672 1410

Monday - Friday 8:00am to 5:00pm

17 Hereward Highway
Blacktown NSW 2148

    [email protected]
Fax   (02) 9622 7521

© 2020- MetWest Eye Centre | Privacy Policy | Disclaimer | Website design: WebInjection