Crimson Clinic Bookings Form 绯红健康诊所挂号预约申请表

You can make an anonymous request for an appointment at Crimson Clinic using this form. For more information, see https://respectqld.org.au/crimsonfaq/ Crimson Clinic is for sex workers only, you will need a current Medicare number, and testing is 100% free. The Doctors and Nurses are volunteers, the staff at the front desk are from Respect Inc.

您可以使用此表格匿名申请性健康检测预约。有关更多信息，请参阅 https://respectqld.org.au/crimsonfaq/ 本诊所只为性工作者提供检测服务，您需要一有效的 Medicare 澳洲公共健康保险卡号码预约看诊，我们为您提供的服务为 100% 免费。在场的医生和护士皆为志愿工作者，前台工作人员则为同为性工作者的 Respect Inc 人员。

Crimson Appointment Request Form

Preferred name 您偏好的称呼（必填）(Required)

To secure an appointment, Respect Inc does not need any identifying information from you. 您不需要您提供任何身份信息来预约看诊。当您到达诊所时，我们需要您当前有效的 Medicare 号码和法定姓名，以便医疗人员可以为您免费进行检测。

Email address or Mobile number for appointment confirmation 用于预约确认的电子邮件地址或手机号码（必填）(Required)

Respect Inc recommend you provide a secure and reliable method of communication so we can confirm the appointment time with you. 建议您提供一种安全可靠的联络方式，以确保我们能与您确认预约时间。