Health Summary

We are committed to maintaining the highest standards of patient care, and each of our practitioners strives to ensure responsible and attentive service. To assist us in providing a high standard of care, we kindly ask that you either upload your health summary below, or ensure you have an active My Health Record that the practitioner can access if required.

Please upload a recent copy of your health summary, or provide consent for our team to contact your GP to provide your health summary in the form below.

Option 1 – Upload

Please upload a recent copy of your health summary here and click the Send Health Summary button.

Option 2 – Provide Consent

Please complete the form below to provide consent for our team to contact your GP to obtain your health summary.

Patient Name(Required)

First Middle Last

Patient Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Patient Phone Number(Required)

Patient Email(Required)

Patient Date of Birth(Required)

Please supply your current GP details below so we can contact them to request your health summary

General Practitioner Name(Required)

Practitioner Phone Number(Required)

Practitioner Email Address(Required)

The patient listed above is attending NuLeaf Clinics and is requesting transfer of their complete medical history. This includes any of the following; health summary, pathology, reports, health assessments, discharge summaries, mental health care plans, clinical notes, care plans and medical imaging.

This is a signed authority for your clinic to release my health information as specified.

Acknowledgement(Required)

I understand an administration fee may be charged for this service and this is the responsibility of myself. If you charge a fee for the transfer of files, please contact me directly on my details above.

Please tick box to agree

Patient Full Name (Confirm)(Required)

Date Submitted

Patient Signature(Required)

Alternatively, please allow practitioner access to My Health Record. See instructions below.

What is My Health Record?

My Health Record is a secure online summary of an individual’s key health information, managed by the Australian Government. It allows healthcare providers, such as doctors, pharmacists, and hospitals, to access and update important medical details, including prescriptions, allergies, immunisations, and past treatments.

Why should I allow access to My Health Record?

Allowing healthcare providers access to My Health Record ensures they have up-to-date and accurate information when making medical decisions.

By granting access to your My Health Record, the practitioner can quickly confirm your diagnosis during the consultation without needing to go through the time-consuming process of manually retrieving your Health Care Summary, which may take up to a week, depending on your GP clinic.

How do I enable access to My Health Record?

1. Create a My Health Record (if you don’t have one already)

Online Setup: Visit the official My Health Record website (myhealthrecord.gov.au) and follow the instructions to create an account.

Through Medicare: You can also register during a visit to your local Medicare service center.

2. Log into Your Account

Once your account is set up, log in via the My Health Record website or mobile app using your login details.

3. Grant Access to Healthcare Providers

Access Settings: In your account settings, you can control who can view and update your record. You can give your GP, specialists, pharmacists, or other healthcare providers access to your information.

Sharing Preferences: You can choose to allow access to your full record or just specific sections, like your medications or allergies.

4. Opt-In to Participation

If you’re comfortable with sharing your health details, ensure that the option to “allow” access is activated.

You can also manage notifications to stay informed when your record is accessed or updated.

If you have any questions about allowing access to My Health Record, please call our friendly team on 1300 508 888.