Health Care Homes patient information and consent form

The Department has developed a Patient Information Statement and Patient Enrolment form for patients who are considering participating in the Health Care Homes program. This form is available in English and the six languages listed below.

Page last updated: 15 November 2018

To participate, patients need to have read the Patient Information Statement and agreed to enrol. Practices must retain a copy of the signed Patient Enrolment form for their records.

Languages Listed Below