Welcome to Your Online Patient Admission
At Mount Hawthorn Day Hospital, we want your experience with us to be exceptional, straightforward and stress-free. We ask that you complete our Online Patient Admission Form at least one week before your admission, as this will allow us sufficient time to cross reference your private health fund insurance, process your paperwork and provide our clinical staff with important information about your medical history.
Please click the link below to proceed with completing this important document. Some of this information you may have already provided to your Doctor, however, you will need to resupply this to our hospital for our records. We prefer that you complete this paperwork online.
If, however, you are unable to complete the Form online, please notify our hospital on 08 6147 2600, and a hard copy can be provided.
Please note: Your booking is not confirmed until we have received and processed this Admission paperwork.
Things to know when completing the Online Patient Admission:
- Allow 20-30 minutes to complete the form
- Although compatible with a mobile/ tablet device, we recommend completing this form on your computer
- New patients - fill in your name, email address and nominate a password to create your account
- Existing patients, please sign in using your previous login details
- Once logged in, click ‘Start a New Admission’ at the top of the page. For pre-existing patients, there is a function that allows you to reuse information from a previous form to save time.
- Provide as much detail as possible and answer all *mandatory fields
- Any items not related to your specific procedure, please leave these blank or indicate not applicable


Please have the following information ready:
- Personal details, including your weight, height, emergency contact details and Next of Kin
- Medicare, DVA or Pension card
- Private Health Insurance details
- Medical and surgical history
- List of all medications including non-prescription medicines, weight loss medication (if applicable), vitamins and natural supplements. Please disclose any side effects or allergic reactions to past medications.
- WorkCover details (if applicable)
Information to bring with you to your Admission:
- Procedure consent forms (if given to you by your Doctor)
- Medicare card
- Health fund details
- Eftpos or credit card to pay your account
- Supply the name and contact number of the responsible person collecting you

If applicable:
- Walking aids
- Hearing aids
- Enduring Power of Attorney or Advance Health Directive
Keeping your Personal Information Safe
Patients can have peace of mind knowing their personal data is stored in a secure, restricted SQL database, with all data encrypted at rest and in transit. We also engage in regular penetration testing to ensure our cybersecurity measures are reliable, and allow us to continuously refine and maintain a secure system.
Questions?
If you require assistance completing your Online Patient Admission, please contact our helpful staff on 08 6147 2600.
Thank you, and we look forward to welcoming you to Mount Hawthorn Day Hospital.