Colonoscopy Brisbane
Dr Goutham Sivasuthan — Brisbane colonoscopy specialist
Questions? Call (07) 3733 1551

Help us prepare for your upcoming procedure

Welcome to Colonoscopy Brisbane
Registration Form

We're here to make your experience smooth, safe and stress-free. Please complete the patient registration form below so our team has all the information needed to support you throughout your care.

  • GESA-accredited specialist
  • No-gap for insured patients
  • Four Brisbane locations
Register onlineTakes about 5–10 minutes — no account needed.
We confirm your detailsOur team checks your referral and cover. Nothing to pay now.
Book your timeYour personal booking link arrives by SMS and email — usually the same day.
Dr Goutham Sivasuthan

Your specialist

Dr Goutham Sivasuthan Australian-trained, GESA-accredited General & Endoscopic Surgeon. One specialist, four trusted locations — the same experienced hands from first consultation to procedure.

Fields marked * are required.

1 · Your details

Do you need an interpreter?

2 · Emergency contact & doctor

Emergency contact

Treating doctor

Do you have a GP referral?

You can email your referral to us, or your GP can send it directly — we'll prompt you after you register.

3 · Medicare & insurance

Do you hold a valid Australian Medicare card?
Are you under 18?
Do you have private hospital health insurance?
Is this a Workcover or third-party claim?

4 · Medical history

This helps us plan your sedation and procedure safely. Everything is encrypted before storage.

Do you have diabetes?
Do you have any allergies or adverse reactions?
Do you smoke tobacco or vape?
Do you drink alcohol?

5 · Previous scopes & surgery

Have you had a colonoscopy before?
Have you had an upper endoscopy (gastroscopy) before?
Have you had any other surgeries?

Your booking pathway

This is based on your answers above. Pricing is indicative — our team confirms your cover before anything is booked, and there's no payment to make now.

Answer "Do you have private hospital health insurance?" in Step 3 above and your pathway will appear here.

6 · Consent

Read the policies (cancellation · zero tolerance · health information)

Appointment Cancellation Policy

If appointments are cancelled within 48 hours of the scheduled appointment, a $100 cancellation fee will be charged. If an appointment is cancelled within 24 hours, or if a patient does not attend, a $100 cancellation fee will be charged. No further appointments will be made until the cancellation fee has been paid. If the patient is a WorkCover, DVA, or ADF patient, this cancellation fee must be paid by the patient personally and will not be covered by the third party.

Zero Tolerance Policy

Colonoscopy Brisbane has a zero-tolerance approach to any verbal, aggressive or violent abuse and behaviour towards our doctors, staff or other patients. Abusive behaviour — including offensive language, yelling, verbal insults, physical violence, racial abuse or sexual harassment — will result in the person being required to leave the practice, and may mean care is transferred elsewhere; in extreme cases the police will be called. We have the right to refuse treatment to anyone who threatens the safety of our staff or patients.

Health information release

I give my consent to Dr Goutham Sivasuthan of Colonoscopy Brisbane to contact medical practitioners or other bodies I have consulted to obtain health and other information that may be pertinent to my care, and I authorise those practitioners or bodies to release such information (which may include sensitive health information) to Dr Sivasuthan and the practice. I authorise Dr Sivasuthan to include the medical practitioners I have named in patient correspondence (reports, letters or other means) as applicable to my care.

Post-procedure telehealth review (bulk-billed)

After your endoscopy/colonoscopy, Dr Goutham Sivasuthan will see you for a short post-procedure review consultation, usually by telehealth. We bulk-bill this consultation. By assigning your Medicare benefit you agree the Medicare benefit is accepted as full payment for that consultation — you will have no out-of-pocket cost for it, and the benefit is paid directly to the practitioner. Assigning your benefit is your choice; you do not have to.

If you assign your benefit, you agree:
I assign my right to the Medicare benefit for any bulk-billed post-procedure review consultation related to this procedure, whether conducted in person or via telehealth (MBS item 91833 or equivalent), to Dr Goutham Sivasuthan, and request that the Medicare benefit be paid directly to the practitioner. I accept the assigned benefit as full payment for that consultation.

Do you assign your Medicare benefit for the bulk-billed post-procedure review?

Assigning your benefit is your choice and does not affect your registration. We only claim it after your review consultation has taken place.

Your signature

If you assign your benefit, please sign here — this records your agreement electronically. We keep it securely for two years and you can request a copy at any time.

Draw your signature above.

After you submit, we verify your details and send your personal booking link — usually the same day.