Upload Documents

/ Upload Documents

After you have uploaded your documents, one of our team members will contact you regarding booking your consultation.

I'm**
Patient's First Name**
Patient's Surname**
Patient's Email**
Hidden
Patient's Phone Number old**
Patient's Phone Number*
State/Territory
Postcode**
Carer Name**
If you are registering for someone else, you are the carer. Please provide your full legal name (first name and surname)
Carer Phone**
Consultation notifications are provided via SMS / Text Message. This will be used as the primary phone number
Carer Email**
Please provide your email address for consultation information, information resources and booking confirmations.
Patient's Gender**
Patient's Date of Birth

Day
Month
Year
Comments
How did you hear about us?**
Document Upload
Please tick the relevant boxes for the forms you have completed to upload them.

**Please ensure all documents uploaded are clear, high quality images and include all pages**
- Referral Letter
- Health Summary
- Consent Form
- Other Supporting Documents
Attach Referral Letter
Drop files here or

Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 30 MB.
Attach Health Summary
Drop files here or

Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 30 MB.
Attach Consent Form
Drop files here or

Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 30 MB.
Attach Other Documents
Drop files here or

Max. file size: 20 MB.
If you would like to include any other supporting documents please attach them here
Consent**
- I agree to the CDA Health and CDA Clinics Privacy Policy and Trading Terms & Conditions.
When you click submit, a submission confirmation will appear on a new page. Please wait for this before clicking submit again.
Hidden
Zoho Tracker
Hidden
Business Owner - Hidden
- CDA Clinics

Upload Your Documents

Upload Documents

How It works

1. Register as a new patient

Complete our new patient registration form to receive an information pack in your email

2. Complete the emailed documents

Complete the required documents Fill out the documents emailed to you with a GP of your choice

3. Upload your documents

We will then contact you to arrange your consultation