Online Admission Form

Thank you for choosing Lakeview Private Hospital for your hospital stay.

Prior to your admission with us, you will need to complete our admission forms. In order to ensure timely processing of your admission, we request that you complete the online admission form no later than 7 days prior to your admission.

To assist you with this process, please have the following information at hand:

  • Admitting doctor, admission date, procedure date and procedure
  • Emergency contact details
  • Funding details (e.g. Private Health Insurance, DVA, WorkCover etc)
  • Medicare card, concession card(s), Ambulance Membership card
  • List of medication(s) and dosage

Important. If you are registering as a new user, you will also require a valid email address and mobile phone number to submit your online admission form.