Dr Stuart Wild - Intake

Welcome to our intake process.

The following pages contain some important information about us, and will request your consent for us to gather and manage your personal information in accordance with Australian law.

We will then ask you about yourself.

Privacy Consent


This medical practice collects information from you for the primary purpose of providing quality health care. I need you to provide me with your personal details and a full medical history so that I may properly assess, diagnose and treat your health care needs. This means I will use the information you provide in the following ways:

  • Health care purposes

  • Administrative purposes in running my medical practice

  • Billing purposes, including compliance with Medicare and Health Insurance Commission requirements, and where otherwise required or permitted by law

  • Disclosure to others involved in your health care, including the doctor who referred you, treating doctors and specialists outside this medical practice, and other mental health workers you may see.

  • Quality assurance activities

Untitled single choice question

  • I consent to my information being collected for the above purposes
  • I do not consent