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DR KLEID ENQUIRIES PHONE: (03) 9038 1630 DR BRAHAM ENQUIRIES PHONE: (03) 9038 1311

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Home » Dr Stephen Kleid Patient Registration Form

Dr Stephen Kleid Patient Registration Form

Name Prefix

Family (Surname) Name(Required)

First Name(Required)

Address(Required)

Postcode

Phone (Home)

Work – Parents No. – if child

Mobile No:(Required)

Email

Date of Birth(Required)

Age

Occupation

Account Payer (self)

Parent Name if Child

Next of kin

Tel No.

Referring Doctor

Private Health Ins. Fund

Membership No

Medicare No.

Patient No.

Valid to

Pension/Veterans' Card No

Workcare/TAC

Notes

MAIN LOCATION

Masada Medical Centre
Level 1, 26 Balaclava Road,
East St Kilda, VIC

CLINIC HOURS
Mon – Fri 9am – 5pm

OTHER LOCATIONS

Dr Stephen Kleid also consults at
Epworth Sleep Centre
Level 3, 126 Wellington Pde, East Melbourne VIC
Tweed Day Surgery
38-44 Boyd St, Tweed Heads NSW 2485

Dr Simon Braham also consults at
Lakes Imaging
Horne Street, Sunbury, VIC

CONTACTS

Contact Dr Kleid’s team
Phone: (03) 9038 1630
Email: office@stephenkleid.com

Contact Dr Braham’s Team
Phone: (03) 9038 1311
Fax : (03) 9038 1315
Email: info@drbraham.com

This website is owned and operated by Melbourne ENT Pty Ltd (ACN 130 456 629 | ABN 31 196 028 151)

Dr Stephen Kleid (AHPRA MED0001052799) and Dr Simon Braham (AHPRA MED0001144757)

Masada Medical Centre, Level 1, 26 Balaclava Road, St Kilda East VIC.

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Disclaimer

Surgical Results depend on each patient’s circumstances and can vary significantly. Results may also be impacted by a variety of factors including lifestyle, weight, nutritional intake, overall health and other factors. Consult a Surgeon for more information. These details are general in nature and are not intended to be medical advice or constitute a doctor-patient relationship. Surgery risks and complications are covered in detail during a consultation. Note: results can vary from patient to patient and that all invasive surgery carries risks. Be sure you do your research before proceeding.

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