Registration and Consent

Your Account

Please provide the following details. This will enable you to return to this site later.

(Password must be at least 8 characters long and contain an upper case, lower case, a special character and a digit.)


Consent

I,


, as the of provide consent for Stirling Hospital to collect my/the patient's personal and health information on behalf of the various clinicians practicing at Stirling Hospital. I consent to Stirling Hospital and the clinicians to use and disclose my/the patient's personal and health information for the following purposes:



Contact Details


A Lifecard account will be created for you when you register to use this Patient Portal. Lifecard is provided by Global Health Limited, who also provide and host this online form for Stirling Hospital.