Patient Forms


At your first visit we ask you to complete a few forms for us.


You can complete these forms online, print them out and bring them into your appointment (due to confidentiality issues at this stage we are unable to have you email these forms)


If you prefer the forms are available at RTH for you to fill out on the day of your first appointment. 


RTH Privacy Notice

Privacy Notice for patients (pdf)


Patient Information Form (for all new patients at first visit) 

    RTH Patient Information Form (pdf)


GP Clinical Forms (only if you are seeing a GP)

    Adult Form (pdf)

    Child Form (pdf)


Allied Health

Allied Health Patient Information Form

Psychology Forms







For appointments call
02 9087 4600





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Rozelle Total Health is registered with ozdocsonline which offers existing RTH clients the convenience of online services including online appointments, prescription renewals, referrals, and test results. 


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579 Darling Street,

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02 9087 4600
579  Darling Street, Rozelle

Monday, Tuesday, Wednesday and Friday 8:30am - 6:00pm                        Thursday 8:30am - 7:00pm
Saturday 9:00am - 12:00pm | Out of hours and emergencies >