Waitlist audit form

Queensland Health routinely conducts auditing of waiting lists for Queensland’s Hospital and Health Services. We collect information from you through this online form to ensure your patient contact information held by the Hospital and Health Service is up to date, and that an appointment with the relevant health clinic is still required.

You may not be immediately offered an appointment after completing this form. Please contact your relevant Hospital and Health Service directly to find out about waiting times.

Privacy notice: The personal information you provide in this form is being collected by Queensland Health’s Health Contact Centre for the purpose of confirming whether a health service appointment is still required, and your contact details remain current. The department will provide your personal information to the relevant Hospital and Health Services for this purpose, and if necessary, they may contact you direct regarding your appointment. The department handles personal information in accordance with the Information Privacy Act 2009 and will not disclose your personal information to any other third parties without your consent, unless the disclosure is authorised or required by law. For information about how Queensland Health protects your personal information, or to learn about your right to access your own personal information, please refer to the Queensland Health Privacy Policy.

Get started

If you have any trouble completing this form, please reply to the Queensland Health text message you received, and a staff member from the our Health Contact Centre will call to assist you. These calls will be from a private number. Alternatively, you can contact 13HEALTH (13 43 25 84) and ask to be put through to the Waitlist Auditing Team.


Required fields are marked with an asterisk (*).
The patient this form is being completed for is: *
Are you completing this form on behalf of someone else? * This can include a child in your care, or when acting on behalf of an adult patient.

Patient details

Date of birth *
e.g. Dr Citizen – Combined Health Care, Ormeau.
Please provide your GP's address.
Your preferred contact email address.
Please provide the home phone number you can be contacted on. If you do not have one, please write N/A.
Please provide the business hours phone number you can be contacted on. If you do not have one, please write N/A.
Please provide this without spaces, e.g., 0400000000. If you do not have one, please write N/A.
Which phone number do you prefer to be contacted on?
Can we make contact via text (SMS) message? * Answering YES to this question provides the option to receive additional communication via text message. This will not be for all communications as we will still contact via phone call and/or in writing as deemed appropriate.
Please provide your home address.
Is the mailing address different to the home address? *
Can we use a next of kin or emergency contact option? * You can nominate a next of kin or emergency contact person on your file. This person may be contacted should we be unable to get in touch with you for any reason.
Do you identify as Aboriginal and/or Torres Strait Islander? *

Appointment needs

Do you still require an appointment with the specialist at the hospital? * This question refers to the hospital and specialty listed in the text message you received with this form.

Last updated: 29 May 2024