• Skip to primary navigation
  • Skip to content
  • Skip to footer

+61 2 4037 5858

info@seachangeclinic.com.au

Our COVID-19 Update -• -Register for Next Webinar
  • Email
  • Facebook
Sea Change Weight Loss Clinic

Sea Change Weight Loss Clinic

  • About
  • Team
  • Procedures
    • Procedures Info
    • Laparoscopic sleeve gastrectomy
    • Laparoscopic Roux-en-Y gastric bypass
    • Laproscopic OAGB
    • Laproscopic removal of gastric band
    • Revisional weight loss surgery
    • The Process
  • Pricing
    • Pricing Info
    • Accessing Superannuation
  • FAQs
  • Patient Info
    • The Process
    • Weight Loss Surgery Webinars
    • Patient Registration Form
    • Calculate Your BMI
    • Discharge Instructions
    • FAQs
  • News
  • Locations
Contact Us

Patient Registration Form

  • Contact Details


  • Personal Details

  • Date Format: DD slash MM slash YYYY

  • Medical Details

    Please check with your Health Fund if you're unsure.
    If you're not sure, please try to contact your Health Fund to clarify this. You should ask if you're covered for item numbers 31575, 31572 and 31584.
    You can select one or more options

  • Basis of Referral


  • Submit

Book a Consultation

Contact Us

Footer

Sea Change Weight Loss Clinic

Unit 11, 12 Mitchell St Merewether, NSW
(Entry on Merewether St)

P: +61 2 4037 5858

F: +61 2 4047 2147

E: info@seachangeclinic.com.au

Follow us on Facebook

  • About
  • Team
  • Procedures
    • Procedures Info
    • Laparoscopic sleeve gastrectomy
    • Laparoscopic Roux-en-Y gastric bypass
    • Laproscopic OAGB
    • Laproscopic removal of gastric band
    • Revisional weight loss surgery
    • The Process
  • Pricing
    • Pricing Info
    • Accessing Superannuation
  • FAQs
  • Patient Info
    • The Process
    • Weight Loss Surgery Webinars
    • Patient Registration Form
    • Calculate Your BMI
    • Discharge Instructions
    • FAQs
  • News
  • Locations

© Sea Change Weight Loss Clinic.