Doctor Appointment Request Form
Any Hampton Park Secondary College student can use this form to request an appointment with the doctor, who attends the college one day a week.

The doctor - also known as a general practitioner or GP, is from a local clinic: Southern Cross Medical Centre, and will be able to support students with any of their health needs.  

GP appointments will be available on Thursdays, during the school term (not over the holidays), and will be 20 minutes per appointment. Appointments will be held in the GP clinic near E Bock, by Fordholm Road.

When your appointment is booked, it will appear on your Compass timetable as 'meeting' and you will receive a confirmation message if requested.

Just like when a young person sees a doctor outside of school, the GP will make the decision about who - if anyone, needs to know about the things that you talk about. If you would like more information about confidentiality and privacy, see here:

If you need more information on GPs and what they might be able to help you with, see here for a video: 

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Student First Name *
Student Surname *
Date of Birth *
Biological Sex/Gender  *
Please list the sex your were born as, so that the clinic can find your details on Medicare
What can the doctor help you with?  *
Do you require an interpreter?
If so please list the language here.
Medicare number
If you don't know your Medicare number that's ok. If you're not sure what a Medicare number is, check out the instructions below
Australian Medicare card
Would you prefer to see a GP that is a certain gender? *
House *
Mentor Group *
Please select your preferred appointment time (if you have one)
How would you like your appointment confirmed? *
Your appointment will also appear on your Compass timetable as 'meeting.'
If you are making this appointment on a student's behalf, please list your name
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