Video 1 – Instructions on Filling Forms
Please download and complete the forms below prior to your appointment. The following video will guide you through filling the forms.
You may bookmark this page in your web browser to access these videos and forms directly without entering your email.
Video 2 – After Your Appointment
There are some important considerations for managing your health and taking medication following your appointment. In addition to the Prescription Information form below, the video below provides helpful guidance.
Please note this video provides general instructions, you will have received specific guidance during your appointment.
The Tests and Medical Information form should be completed with your GP, along with any necessary tests prior to your appointment.
Once you have completed the forms, please save and upload them to your Patient Portal. You should have received instructions on how to do so. Any additional pages you wish to upload must be in PDF format.
If you are unable to upload the completed forms to your Patient Portal, you may email them to Dr Perera or bring them with you to your first appointment.
Thank you for completing these forms, it will make your first session more productive.
|2. ISSUES AND BACKGROUND|
|3. TESTS AND MEDICAL INFORMATION|
|4. ADHD SELF-REPORT SCALE|
|5. PRESCRIPTION INFORMATION|
|6. PRIVACY CONSENT|
Travelling to Dr Perera
Dr Perera’s office is in Specialist Suite 5 at The Melbourne Clinic.The Melbourne Clinic address is 130 Church Street. The main entrance to Melbourne Clinic is off Tweedie place and Specialist Suite 5 is on Bromham Place for which you need to come on Tweedie Place and turn left.
Please see the map further below. This is the easiest approach due to the one-way streets and the fact that these are small streets. If you have any problems locating the suite, please check in at the Main reception off Tweedie Place.
For further instructions on travelling by car or public transportation, please download the PDF directly below.
|TRAVELLING TO DR PERERA|