Health Questionnaire

About your Health Questionnaire

When you are added to the preparation list (this is sometimes called a waiting list) for a planned procedure at Barwon Health, we will ask you to complete your Health Questionnaire.

Your Health Questionnaire is a detailed form that collects information about your medical history. It covers:

• past procedures
• medications
• allergies
• and other relevant health details.

The details you give in this form are very important to the team who will take care of you.

Please create your VicKey account and complete the questionnaire as soon as you can. Your procedure cannot happen until the form is finished.

We’ll also ask you to update your form from time to time to help us detect any changes early and ensure they don’t impact your care.

Why it is important

Completing your Health Questionnaire helps us to:

• Reduce risk: by knowing your medical history and any potential concerns, we can better prevent complications during your stay.
• Provide personalised care: the form offers insights that allow your care team to tailor your care plan to your individual needs.
• Improve efficiency: helps our staff prepare for your arrival, ensuring all necessary resources are available and reducing the chance of cancellations.

How to complete your form online

Barwon Health is using a secure portal called VicKey to manage your Health Questionnaire. VicKey is a partnership between the Victorian Department of Health and public health services across the state.

Set up your account

You will need a VicKey account to access your Health Questionnaire.

To set up your account you will need to have your UR number (patient identification number) and mobile phone handy.

Before you start, you can read more about VicKey and frequently asked questions on the VicKey website.

There are three main steps:

Step 1: Create a VicKey account

Step 2: Link a patient to your VicKey account

Step 3: Verify your identity

This helpful video from VicKey shows you the key steps to set up your account.

Find the form in your inbox

You will find your Health Questionnaire in your Patient Portal inbox.

The details you give in this form is very important to the team who will take care of you.

Please create your VicKey account and complete the questionnaire as soon as you can. Your procedure cannot happen until the form is finished.

Before starting it is best to get these things ready to help you fill in the form:

• Your Medicare card
• All prescribed and over the counter medicine you take
• Details about any medical conditions you have and any doctors involved in your care.
• Any recent hospital visits or operations you have had.

You can save and leave the form if you need to stop for any reason. You can then come back later to finish. You can ask a close family member or carer to help you if needed.

Barwon Health respects your privacy. We follow the law to keep all your information safe. We have clear rules about how we collect, store, use your information. Your information will not be shared without your permission. You can learn more here.

Contact us

For help signing in and using your VicKey account and the Patient Portal, contact:

Elective Surgery Access Unit

Email: [email protected] (monitored Monday-Friday, excluding public holidays)

Phone helpline:(03) 4215 4142

Phone line monitored 9am to 4:00pm. Outside these hours, please leave a message clearly indicating your full name and UR number or date of birth.