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New Patient
Information & Consent

To be completed before your first appointment
Dr Basanth Kenchaiah FRANZCP, Cert. Addiction Psych.
General Adult & Addiction Psychiatrist
Delmont Consulting Suites
314 Warrigal Road, Glen Iris VIC 3146
Tel: 03 9834 3600  |  [email protected]
Please read the following information carefully and sign where indicated. Return the completed form to the rooms before or at the time of your first appointment. A patient guide covering what to bring, what to expect at your appointment, and what happens afterwards is available at basanthkenchaiah.com.au/resources/info-what-to-expect.html. If you have any questions, please call the rooms on 03 9834 3600.
Your First Appointment

The initial assessment typically takes 45–60 minutes, though complex presentations may extend across two or three appointments to allow for a thorough review. No particular preparation is required, though it is helpful to bring any previous letters, hospital discharge summaries, or a list of current medications and doses.

Dr Kenchaiah does not currently offer telehealth video consultations. Telephone consultations may be arranged between face-to-face appointments where clinically appropriate.

Family Members & Support Persons

You are welcome to bring a family member, carer, or support person if you feel this would be helpful. Please advise the rooms in advance so arrangements can be made. There may be parts of the consultation where Dr Kenchaiah speaks with you privately. Family involvement will only occur with your consent.

Cancellation & Non-Attendance

Appointment times are reserved specifically for each patient. If you are unable to attend, please contact the rooms as early as possible and no later than 24 hours before your appointment, so the time can be offered to another patient.

Medical Fees

This is a private specialist practice. All consultations attract a gap fee above the Medicare rebate. Current amounts are available from the rooms — please contact Delmont admin on 03 9834 3600 before your appointment. You will be responsible for any costs not covered by Medicare or your health fund, including late cancellation and non-attendance fees.

Privacy

Your personal information is collected to provide you with medical care and is handled in accordance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles. Information will only be used or disclosed in connection with your care, or as required or permitted by law. You may request access to your records or raise a privacy concern by contacting the rooms in writing.

Consent