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Medicare Bulk Billing for all eligible patients· Mon–Fri 8:00am–5:00pm· Muswellbrook Fair, Tenancy 16–17, Rutherford Road· (02) 6530 7404
Muswellbrook
Doctors.

All Medicare-eligible consultations are bulk billed for patients with a valid Medicare card. Some items, including privately purchased vaccines and consumables, attract a fee.

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Children's health,newborn to sixteen.

Newborn checks, immunisation, development and growth, and the everyday coughs, ears, rashes and fevers. Same-day appointments are held each morning for children who cannot wait until next week.

Before you bring them in
Bring the blue bookOr your child's immunisation history statement. It saves guessing at what has already been done.
Same-day slots are heldReleased each morning for problems that cannot wait. Ring reception or check HotDoc from 8am.
One child, one appointmentTwo children need two bookings. Tell reception and they will book them together.
Bulk billed immunisationsEverything on the National Immunisation Program is funded for eligible children
Same-day for sick kidsSlots held each morning for children who cannot wait
The same doctorContinuity matters most with children — ask for whoever saw them last
Medicare Bulk Billing PracticeStandard GP consultations are bulk billed for everyone with a valid Medicare card.

Bulk billed,and timed for a reason.

Vaccines on the National Immunisation Program are funded for eligible children, and the schedule is built around the ages at which each illness is most dangerous — which is why timing matters more than people assume.

If you have fallen behind, catch-up is bulk billed and it is routine. Nobody is going to be told off. Bring the blue book or the immunisation history statement and we will work out what is outstanding.

Booking itImmunisation appointments are quick but they are still appointments. Say what it is for when you book, and if your child is due for a development check at the same age, ask to have both done in the one visit.
What if we have fallen behind?

Catch-up schedules exist for exactly this and the vaccines remain funded. There is no penalty and no lecture — bring what records you have and we will map out what is needed.

Are there side effects?

Commonly a sore arm or leg, a mild fever, and a grumpy child for a day. Serious reactions are rare. You will be asked to wait a short time afterwards, which is a precaution rather than a sign of concern.

My child is unwell on the day — should we still come?

A mild cold with no fever is usually fine. A significant fever generally means postponing by a few days. Ring reception and ask rather than guessing.

What about school and childcare requirements?

Childcare and school enrolment require an up-to-date immunisation history statement. We can tell you what is outstanding, and the statement comes from your Medicare online account or the Medicare app.

Where does the flu vaccine fit?

Annual, and funded for children aged six months to under five years, along with several other groups. It is separate from the childhood schedule and worth booking before winter.

How they look matters more than the number.A high temperature in a settled child is less worrying than a low one in a child who is hard to rouse.

Checks at the ageswhere it matters.

Newborn checks, the six-week check, and the reviews that follow are about more than weight. They cover feeding, growth, hips, eyes, hearing, movement and the milestones that indicate development is on track — and they are also a scheduled moment to ask how the parent is going, which matters just as much.

If something is not tracking as expected, finding it early is what changes the outcome. Hearing and vision are checked routinely because both can look like inattention or delay, and both are straightforward to address.

Bring your own questionsParents routinely leave having forgotten the thing they came about. Write it down beforehand — sleep, feeding, speech, behaviour, toileting, whatever it is. There are no silly questions at these appointments.
What is the four-year-old check?

A structured review before school — growth, vision, hearing, speech, behaviour and immunisation status. It is a good moment to raise anything you have been wondering about, because there is time set aside for it.

My child is not talking as much as others. Should I wait?

No. Speech is one of the areas where early input makes the most difference, and a hearing test is often the first step. Waiting to see is rarely the better option.

What about growth and weight?

Plotted on a chart over time, which tells us far more than any single measurement. The direction of travel matters more than the number on the day.

Can I raise how I am going, not just the baby?

Please do. Postnatal mental health is part of these appointments by design, and it is asked about because it is common, treatable, and frequently unspoken.

Do you refer to paediatricians?

Yes, when a specialist opinion is needed. We send the history and any results so the appointment starts from something rather than nothing.

Fevers, coughs,ears and rashes.

Call 000 or go straight to hospital ifYour baby is under three months and has a fever — go to the emergency department at Muswellbrook Hospital rather than waiting for a GP appointment. Also urgent at any age: difficulty breathing, blue or very pale skin, a rash that does not fade when pressed with a glass, a stiff neck, a seizure, or a child who is floppy, unrousable or will not wake properly. Call 000 — do not wait for an appointment.

Most childhood illness is viral, resolves on its own, and needs fluids, rest and time rather than antibiotics. What a doctor is really doing at these appointments is checking that this is one of those, and not one of the few that is not.

That is why parents should never feel they have wasted an appointment by bringing a child in who turns out to be fine. Being told it is fine, by someone who has actually looked, is the point.

Trust yourselfParents are usually right that something is different about this illness. If your child seems more unwell than usual and you cannot put your finger on why, that is a reason to be seen — and a reason to come back if things change after you have been.
When is a fever serious?

How the child looks matters more than the number on the thermometer. Drowsiness, difficulty waking, poor feeding, fewer wet nappies and any breathing difficulty all matter more than the reading.

A fever in a baby under three months is the exception and is always urgent — that needs an emergency department, not a GP appointment. The one qualification is a mild fever in the day or two after vaccinations; ring and ask rather than guessing.

What are the signs to act on immediately?

Difficulty breathing, blue or very pale skin, a rash that does not fade when pressed with a glass, a stiff neck, a seizure, or a child who is floppy, unrousable or will not wake properly. Call 000 — do not wait for an appointment.

Why no antibiotics?

Because most of these illnesses are viral, and antibiotics do nothing to a virus while still producing side effects and contributing to resistance. When they are needed, they are prescribed without hesitation.

How long should a cough last?

Coughs commonly outlast the illness by weeks, particularly in winter. A cough that is getting worse rather than better, comes with breathing difficulty, or persists beyond a few weeks should be reviewed.

What about ear pain?

Very common, and it needs the ear looked into — which is one of the things that cannot be done over the phone. Book to be seen.

Two conditions that rewarda written plan.

Asthma emergencyIf a reliever is not working, if your child cannot speak in full sentences, or if they are becoming drowsy — call 000. While you wait, four puffs of the blue reliever through a spacer, one puff at a time, repeated every four minutes.

Asthma and eczema are among the most common long-term conditions of childhood, and both are managed far better with a written plan than without one. A plan sets out what to use every day, what to use when things flare, and the point at which you should seek help.

Around here there is an additional reason to have one current. Smoke seasons and dust are a routine part of life in the Upper Hunter, and they are reliable triggers — we have written about smoke, dust and lungs separately.

Bring the devicesBring the actual puffers and spacers to the appointment. A surprising proportion of poorly controlled asthma is technique rather than medication, and that can only be checked by watching it being used.
How often should an asthma plan be reviewed?

At least once a year, and after any flare-up or hospital visit. Children grow, doses change, and plans go out of date quietly.

Does my child need a spacer?

Almost always. Puffers used without a spacer deliver considerably less to the lungs in young children. Spacers are inexpensive and make a real difference.

What triggers should we watch for?

Colds are the most common trigger in children. Smoke, dust, pollen, exercise, cold air and pets are all frequent. Knowing your child's own pattern is more useful than the general list.

Is eczema just dry skin?

It is a barrier problem, which is why moisturiser is treatment rather than cosmetic and needs to be used generously and regularly, not only during flares. Steroid creams are used properly when needed — under-treating a flare is more common than over-treating one.

When is asthma an emergency?

If a reliever is not working, if your child is struggling to breathe or speak in full sentences, or if they are becoming drowsy — call 000.

While you wait for the ambulance, give four puffs of the blue reliever through a spacer, one puff at a time with four breaths after each, and repeat every four minutes. That is the standard first-aid step and it is safe to do.

Bringing a childto the doctor.

A few practical things that make the visit easier — most of them learned from parents telling us what did not work.

The main one is time. A child who is scared, tired or mid-tantrum takes longer than the ten minutes a standard appointment runs to, and being rushed helps nobody. Tell reception what it is about and they will book accordingly.

If your child is frightenedTell us at the start. There is no rush, nothing has to happen in a particular order, and a lot can be done with the child on a parent's lap. Threatening a needle as a punishment beforehand makes every future appointment harder — it is worth avoiding.
Do I need to bring anything?

The blue book if you have it, or your child's immunisation history statement. Any medicines they are on, including puffers and creams. And your own list of questions — it is very easy to walk out having forgotten the one you came for.

Can I bring two children to one appointment?

Each child needs their own appointment, because each is a separate consultation. Tell reception and they will book them back to back so it is one trip.

Is it bulk billed?

Yes. Standard consultations are bulk billed for everyone with a valid Medicare card, including children. Your child needs to be on a Medicare card — their own or a parent's.

Can my child see the same doctor each time?

Where possible, and it is worth asking for. Continuity matters more with children than with almost anyone else, because the person who saw them last knows what has changed.

What if I need to talk without my child hearing?

Say so. This comes up more often than you would think, particularly with older children, and it can be managed.

School, childcareand specialists.

Forms for school, childcare, sport and support funding are all done here, but they take longer than a standard appointment and they need to be brought with you. A form filled in properly is worth considerably more than one filled in quickly.

Referrals to paediatrics and other specialties are written with the relevant history and results attached, so the appointment does not start from scratch.

Book the timeSay it is for a form when you book, and bring the paperwork. Coming back a second time because there was not enough time in the first appointment is the most avoidable thing on this page.
How long do forms take?

Longer than you expect. Some require examination and measurements, some require reviewing the record. Book a long appointment and bring the form itself, not a photo of page one.

Do forms attract a fee?

Some do. Forms and reports for third parties are not always a Medicare service. Reception will tell you before the appointment.

How long does a paediatric referral last?

A standard GP referral runs twelve months from your first appointment with the specialist. Read more about how referrals work.

What about ADHD assessment?

Assessment for children is offered here by Dr Zahraa Hussein. It takes more than one appointment and it is privately billed rather than bulk billed — see ADHD assessment for what is involved.

Can you fill in an NDIS or funding form?

Bring it in and we will tell you honestly whether it is something general practice can complete or whether it needs a specialist or allied health report.

Childhood immunisation

Newborn & six-week checks

Development and growth reviews

Same-day appointments for sick children

Asthma action plans

Eczema management

School and childcare forms

Hearing and vision concerns

Paediatric referral

Four-year-old health checks

Childhood immunisation

Newborn & six-week checks

Development and growth reviews

Same-day appointments for sick children

Asthma action plans

Eczema management

School and childcare forms

Hearing and vision concerns

Paediatric referral

Four-year-old health checks

Childhood immunisation

Newborn & six-week checks

Development and growth reviews

Same-day appointments for sick children

Asthma action plans

Eczema management

School and childcare forms

Hearing and vision concerns

Paediatric referral

Four-year-old health checks

Children's healthquestions, answered.

How do I get a same-day appointment?

A number of slots are released each morning and held for problems that cannot wait. Ring reception or check HotDoc from 8am. They are not for routine reviews.

My baby is under three months and has a fever.

That is urgent. Go to the emergency department at Muswellbrook Hospital straight away, or call 000 if your baby is floppy, hard to wake, breathing fast or looks unwell. Do not wait for a GP appointment.

Is everything bulk billed for children?

Standard consultations are bulk billed with a valid Medicare card. Some forms, reports and privately purchased vaccines carry a fee, and reception will tell you first.

Can grandparents or a carer bring my child?

Yes, with your consent. Let reception know, and send the Medicare details and any relevant history with them.

Do you do newborn checks?

Yes, including the six-week check for baby and the postnatal check for the parent, usually in the same visit.

What if my child needs a specialist?

We refer to paediatrics and other specialties as needed, with the history attached. Waiting times vary, and it is worth asking about cancellation lists.

Can teenagers be seen on their own?

Yes. Older teenagers can be seen alone and confidentiality is taken seriously, within the usual limits around safety. It is often the reason a young person comes in at all.

What about hearing and vision?

Both are checked routinely at development checks, and both are worth raising at any time — they are common, easily missed, and often mistaken for inattention or delay.

General information onlyThis page is general health information for anyone who finds it useful. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. If you are worried about a symptom, book an appointment or call (02) 6530 7404. In an emergency, call 000.

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Bulk billed with a valid Medicare card · Mon–Fri 8:00am–5:00pm · Muswellbrook Fair, Rutherford Road.

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