Duquessa Holistic

Important Notice:Cancellation / Non-Attendance Policy — If you can no longer attend the appointment, please cancel or reschedule through your confirmation email. A fee may apply if you cancel outside of the required time. | Other Practice Policy — If you have a Health Summary, please submit it to the clinic before your appointment. Email: info@duquessa.com.au

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Transfer of CareSuperAdmin2024-10-16T07:59:09+10:00

Transfer of Care

Record of Transfer of Care

Care Provider Katherine Millar- Shannon

Date

Email: Katherine@duquessa.com.au

Phone: 0431 249 643

Address Suite 602, Kew Junction Tower, 89 High Street, Kew, Vic 3101

Name

First Last

Your Date of Birth

Reason for Transfer of Care

Short consultations (<10mins)

Inadequate assessment

Poor communication

Neglect/not listened to

Your Signature

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Benefit from the expertise of a dedicated Nurse Practitioner and experience compassionate care in a supportive environment focused on your well-being.

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Transfer of Care

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Get in Touch

info@duquessa.com.au

0431 249 643

Suite 602, Kew Junction Tower, 89 High Street, Kew VIC 3101

Disclaimer:

Duquessa Holistic provides personalised medical services, which may, where appropriate, include treatments such as alternative medicine. We do not endorse the use of alternative medicine and take a cautious approach by acknowledging its potential side effects and interactions with other medications. We strongly recommend consulting with a medical professional before considering alternative medicine, as it may offer benefits for certain conditions but also carries potential risks. In Australia, therapeutic goods like alternative medicine are carefully regulated by the Therapeutic Goods Administration (TGA). For more information, please visit the TGA website .