Register as a Super Clinic patient – Coffs Harbour GP Super Clinic

If you would like to register as a Super Clinic patient, please fill out the form below.

Name*
First Last
Phone*
mobile or landline number.
Email*
Address*
Street Address Address Line 2 City ZIP / Postal Code
Preferred contact method
Additional comment or information

If you would like to add any information regarding your registration, please enter it here.
Name
This field is for validation purposes and should be left unchanged.

To upload your Health Record go to the following link:

2. Access myGov

3. Sign up for My Health Record

4. Add your preferences