Download a printable application form
yes, it is essential that your doctor agrees to visit you at TLC Aged Care or provide a locum service
to you, outside of normal business hours, in the event of illness or injury.
no, there are doctors who routinely visit TLC Aged Care residences. You may choose to have one of these
doctors as your nominated Medical Practitioner.
Please provide your current General Practitioner’s details:
yes, please provide your pharmacy details below.
Please attach a certified true copy of the entire document(s)
To select multiple files, hold down the CTRL or SHIFT key while selecting.
If yes, please provide the following details: