Financial Consent

Fees

Consultation Fee: $170 (please note there are no applicable medicare rebates for this type of consultation).

Procedure Fee: Following your consultation, you will be provided an estimate of the recommended procedure, which will be valid for a period of 6 months.

Deposit: 10% deposit is required to secure a procedure date.

Full Payment: full payment is due 2 weeks prior to procedure date.

---

Payment Options

Payment options include:

• EFTPOS (onsite payments only)
• CASH (onsite payments only)
• Visa & Mastercard
• American Express (please note a 1% surcharge applies)
• Electronic Funds Transfer (details provided in estimate)
  
  

---

Outstanding Monies

I agree to pay collection and / or legal costs for recovery of any outstanding monies.