The Mojo Klinik
Suite 11/40 Yeo Street
Neutral Bay, 2089, NSW
Ph: 0291338500 | Fax: 0291338475 | Email: reception@mojoklinik.com
HOW TO ARRANGE YOUR RECORDS TRANSFER:
Fill out this digital consent form and click ‘submit’. This automatically begins the transfer process. You do not need to do anything else. Please allow up to 10 business days for completion before booking an appointment at Dr Varipatis’ new rooms.
Note: there is a $40 administration fee payable to Nature Care Health for this MRT (medical records transfer). This fee will be collected at your first visit to see Dr Varipatis at Mojo Klinik – do not call reception to pay it, it will be added to your first appointment invoice at Mojo.
Dear Surgery,
Surgery Name:NATURE CARE HEALTH
Address: LEVEL 5, 39 CHANDOS STREET, ST LEONARDS, 2065
Phone: 02 9966 8666 Fax: 02 9966 8699
Email: reception@naturecarehealth.com.au
The following patient is now attending this surgery: The Mojo Klinik
The patient wishes to have their records, notes, results & ALL CORRESPONDENCE – including LETTERS, FAXES & COMPOUNDED PRESCRIPTIONS transferred to our surgery.
