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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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Women's health,with a female GP available.

Cervical screening, contraception, menopause, breast health and fertility — the whole picture, in one place. Female GPs are available; ask for who you would prefer when you book.

What to know before you book
A female GP is availableAsk for Dr Zahraa Hussein when you book. If she is not available that day, reception will tell you when she is.
Self-collection is an optionFor cervical screening you can take the swab yourself, in private. No speculum, no examination.
Ask for a long appointmentContraception, menopause and period problems all take longer than ten minutes. Say what it is about when you book.
Screening on timeCervical screening every five years, with self-collection if you would prefer it
One appointmentContraception, periods, menopause and pregnancy planning under one roof
Longer if you need itAsk reception for a long appointment when there is more than one thing

What's dueat your age?

Australia's screening programs start at different ages and run on different clocks, which is why things get missed. Move the slider to see what generally applies.

Your age40
18304050607085

General information for the Australian population, not a personal screening plan. What is right for you depends on your own history — that is the conversation to have in the room.

You can do the testyourself.

Since 2022, everyone eligible for cervical screening in Australia has been able to choose self-collection. You take the sample yourself, from a swab, in private. There is no speculum and no examination by the doctor.

Both samples are checked for HPV and both are accurate for screening. There is one practical difference worth knowing up front: if a self-collected sample comes back positive for a type other than HPV 16 or 18, you will be asked to return for a clinician-collected sample, because the cell-check part of the test cannot be run on a self-collected swab. Most people never need that step.

Why this matters hereA female GP is available at this practice — Dr Zahraa Hussein — and self-collection is offered as standard. If the reason your screening has been put off is the examination itself, both of those things are worth knowing. You can also ask for our practice nurse to be in the room at any point.
What exactly is the test looking for?

Human papillomavirus. HPV is a common virus — most people who have ever been sexually active will have had it, and in most cases the body clears it without anything happening. A small number of infections persist, and it is those that can slowly change cervical cells over many years. Testing for the virus rather than for cell changes is what allows a five-year interval.

Who is eligible, and how often?

People with a cervix aged 25 to 74, every five years, if your previous results have been normal. You should still be screened if you have had the HPV vaccine, if you are no longer sexually active, and if you have gone through menopause.

When is self-collection not suitable?

Self-collection is for screening — for people without symptoms. If you have unusual bleeding, bleeding after sex, pain or an abnormal discharge, that is not a screening situation and needs to be examined properly. Follow-up after an abnormal result may also need a speculum examination.

What happens if HPV is found?

It depends which type. If HPV 16 or 18 is found, you are referred straight for colposcopy, where the cervix is looked at closely.

If another oncogenic type is found and you collected the sample yourself, you will be asked to come back within about six weeks for a sample taken by a clinician — the cell-check part of the test cannot be done on a self-collected swab. That second result then decides between a repeat test in twelve months and a colposcopy referral.

Finding HPV is not a cancer diagnosis. It is the system working as designed, years earlier than it used to.

What does it cost?

The consultation is bulk billed with a valid Medicare card. The laboratory test is covered under the National Cervical Screening Program for eligible participants.

More options thanmost people realise.

If you need emergency contraceptionIt works better the sooner it is taken. Go to a pharmacy the same day rather than waiting for an appointment — it is available without a prescription — and ring us if you would like to discuss the copper IUD option, which has a five-day window.

Most people know two or three methods and choose between them. There are more, they work in quite different ways, and the one that suits you at 22 is often not the one that suits you at 38.

The things worth weighing are how long it lasts, whether you have to remember it, what it does to your bleeding, how quickly fertility returns, and whether it can be used alongside your other health conditions. That is a conversation, not a menu.

Ask for a long appointmentContraception is rarely a ten-minute conversation, particularly if you are changing method or weighing up a long-acting option. Say what it is about when you book so reception can allow the time.
Which is most effective?

The long-acting reversible methods — intrauterine devices and the implant — are the most effective because they remove the possibility of human error. Nothing has to be remembered daily or repeated on time.

Does it affect fertility later?

Return of fertility after stopping is generally prompt for most methods. The injection is the exception — it can take longer for cycles to return afterwards, which is worth knowing before you choose it rather than after.

Can I get an IUD here?

Ask when you book. Insertion of an intrauterine device is a procedure that requires specific training and equipment, and where it is not done on site we will arrange it. Either way the assessment, the discussion and the follow-up happen here.

Will it help my period pain?

Some methods reduce bleeding and pain substantially and are used for that reason as much as for contraception. Others do not. Which is which depends on the method and on what is causing the pain, so it is worth raising both at once.

What if I am over 40?

Most methods remain suitable, but the calculation changes — blood pressure, migraine history, smoking status and clot risk all carry more weight. Contraception is still needed until menopause is confirmed.

Up to 8 years

Hormonal IUD

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Up to 8 years

A small device placed in the uterus, and among the most effective methods there is. Effective for up to eight years as contraception.

For many people it makes periods lighter or stops them altogether — but where it is being used mainly for heavy bleeding, it is replaced at five years rather than eight. We will tell you which applies to you.

5–10 years

Copper IUD

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5–10 years

Hormone-free, which matters to some people. Highly effective and long lasting.

It can make periods heavier or more painful, particularly in the first few months, so it suits some people and not others.

3 years

Implant

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3 years

A small rod placed under the skin of the upper arm under local anaesthetic. Very effective, and nothing to remember.

Bleeding becomes unpredictable for many people — lighter for some, irregular for others. Ask when you book whether insertion is done on site or arranged for you.

Daily

The pill

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Daily

Taken every day. Effective when taken consistently, and less so when it is not, which is the main practical difference between it and the long-acting methods.

Some types are unsuitable if you have migraine with aura, high blood pressure, or a clot history — which is why it is a conversation rather than a repeat script.

Seek help urgently for calf pain or swelling, chest pain, breathlessness, a sudden severe headache or a change in your vision.

Monthly

Vaginal ring

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Monthly

Inserted and left in place for three weeks, then replaced. Nothing daily to remember.

Similar considerations to the combined pill, so the same history questions apply.

Every 12 weeks

Injection

Read more
Every 12 weeks

Given every twelve weeks. Effective and private, with nothing to store at home.

Return of fertility can take longer than with other methods, sometimes many months. Worth knowing in advance if pregnancy is on the horizon.

Emergency contraception

Available from a pharmacy without a prescription, and it works better the sooner it is taken. It does not protect you for the rest of the cycle, so ongoing contraception is still needed. Guidelines describe a copper IUD fitted within five days as the most effective option — if that is what you want, ring us the same day and we will tell you where it can be done in time.

What it costs

Your consultation here is bulk billed with a valid Medicare card. The device or medicine itself, and any insertion or removal procedure, may carry a separate cost depending on what you choose and where it is done — ask for the figure before you go ahead.

Care that follows you through every stage.From your first cervical screening to menopause and beyond — the same practice, and a female GP when you want one.

It starts earlierthan people expect.

One symptom that is always checkedAny bleeding after your periods have stopped for twelve months needs to be looked into, even a single spot. It is usually something benign — but it is investigated every time, and promptly.

Perimenopause commonly begins in the forties and can run for several years before periods stop. Because cycles are still happening, the symptoms often get attributed to stress, work or age rather than to hormones — sleep that has broken up, mood that has shifted, brain fog, joint aches, heavy or unpredictable bleeding, and hot flushes that may or may not turn up at all.

Since July 2025 there has been a Medicare-funded health assessment specifically for perimenopause and menopause, including premature ovarian insufficiency and early menopause. It is a longer, structured appointment covering symptoms, bone and heart health, contraception if it is still needed, and the management options with their risks and benefits laid out properly.

Worth knowingThe menopause health assessment can generally be claimed once every twelve months if you meet the criteria. Ask reception about it when you book — it buys you a longer appointment than a standard consultation allows.
How do I know if it is perimenopause?

Usually from the pattern rather than a test. Blood hormone levels fluctuate so much during perimenopause that a single result is often unhelpful, and can be actively misleading. Your age, your cycle changes and your symptoms tell us more.

What are the management options?

They range from sleep, exercise, alcohol and weight through to non-hormonal treatments and menopausal hormone therapy. What is appropriate depends on your symptoms, your history — particularly clot, heart and breast history — and what matters most to you. That is precisely the discussion the assessment is designed to make room for.

Do I still need contraception?

Usually yes, for a period after your last period. Fertility falls but does not stop neatly, and how long to continue depends on your age. Worth asking rather than assuming.

What about bones and heart?

Both change after menopause, which is why the assessment includes them. Blood pressure, cholesterol, weight, activity and bone health are all easier to act on early.

Can I bring a list?

Please do. Symptoms are easier to describe from a written list than from memory, and it makes a long appointment far more productive.

Pain that stops your dayis worth investigating.

When bleeding is an emergencyBleeding that soaks through protection every hour, or any bleeding with dizziness, fainting or breathlessness — call 000 or go to the emergency department. Any bleeding after your periods have stopped for twelve months needs to be checked within days, not at the next routine appointment.

Period pain that keeps you home from work or school, bleeding you plan your week around, and cycles that never settle — these are reasons to look, not things to wait out. On average it takes years for endometriosis to be diagnosed in Australia, and much of that delay is the assumption that severe pain is normal.

The same is true of heavy bleeding. It is common, it is often dismissed, and it is a frequent cause of iron deficiency — which produces its own exhaustion, breathlessness and poor concentration long before it shows up as anaemia.

Bring the detailA cycle app, or even a note on your phone, is genuinely useful — when bleeding starts and stops, how heavy it is, when the pain comes, and what you have already tried. It turns a vague conversation into a specific one.
What might endometriosis feel like?

Pain that starts before the bleeding and outlasts it, pain with sex, pain opening the bowels or passing urine around your period, and fatigue. Pain that is not controlled by ordinary pain relief is the part that should not be accepted as normal.

What is PCOS?

Polycystic ovary syndrome affects around one in ten women. Irregular or absent periods, acne, excess hair growth and difficulty with weight are common features, and it carries longer-term implications for diabetes risk and fertility that are worth managing early.

How is heavy bleeding assessed?

A history, an examination, blood tests including iron studies and thyroid, and often a pelvic ultrasound. There are effective treatments — several of them are things you may already have considered only as contraception.

Should I be checking my iron?

If your periods are heavy, or you are tired in a way that sleep does not fix, iron studies are a reasonable request. Low iron without anaemia is common and is treatable.

What about bleeding after menopause?

Any bleeding once your periods have stopped for twelve months is always investigated, even a single spot. It is usually caused by something benign, but it is the one symptom that is never left to see how it goes.

The best time to see usis before you start.

In early pregnancy, do not waitSevere one-sided pain, shoulder-tip pain, heavy bleeding, dizziness or fainting in early pregnancy need urgent assessment — call 000 or go to the emergency department. These can be signs of an ectopic pregnancy.

A preconception appointment is one of the most useful and least used appointments in general practice. There are several things that only work if they are done beforehand — folate before conception, checking immunity to rubella and chickenpox in time to vaccinate, and reviewing medicines that may need changing.

It is also the moment to sort out the ordinary things: iron, thyroid, blood pressure, cervical screening if it is due, weight, alcohol and smoking. None of it is complicated. It is simply easier before than during.

Shared antenatal careOnce you are pregnant, shared care means your routine antenatal appointments happen here in Muswellbrook alongside the hospital, rather than every visit being a drive. Ask about it at the first appointment.
When should I start folate?

At least a month before conception and through the first trimester. It reduces the risk of neural tube defects, and it works before most people know they are pregnant — which is exactly why it needs to be started in advance.

What about my current medicines?

Bring everything, including over-the-counter and supplements. Some medicines need changing before pregnancy, some are fine to continue, and some conditions are more dangerous untreated than treated. Do not stop anything on your own — bring it in.

What if I have been trying for a while?

Generally worth investigating after twelve months of trying, or after six months if you are over 35. Investigation involves both partners, and there is more that can be done locally than most people expect before any referral is needed.

What happens after the baby arrives?

Postnatal checks for you and the six-week check for your baby happen here, along with immunisations, feeding support and an honest conversation about how you are actually going.

Is any of this bulk billed?

Standard consultations are bulk billed with a valid Medicare card. Some pathology and imaging carry costs depending on the item — you will be told before anything is ordered.

Cervical screening including self-collection

Contraception including implants and IUD referral

Perimenopause & menopause care

Medicare menopause health assessment

Period pain & heavy bleeding

Endometriosis investigation & referral

Preconception & pregnancy planning

Shared antenatal care

Postnatal checks

Sexual health testing

Breast concerns & referral

Iron studies

Cervical screening including self-collection

Contraception including implants and IUD referral

Perimenopause & menopause care

Medicare menopause health assessment

Period pain & heavy bleeding

Endometriosis investigation & referral

Preconception & pregnancy planning

Shared antenatal care

Postnatal checks

Sexual health testing

Breast concerns & referral

Iron studies

Cervical screening including self-collection

Contraception including implants and IUD referral

Perimenopause & menopause care

Medicare menopause health assessment

Period pain & heavy bleeding

Endometriosis investigation & referral

Preconception & pregnancy planning

Shared antenatal care

Postnatal checks

Sexual health testing

Breast concerns & referral

Iron studies

Women's healthquestions, answered.

Is there a female GP at the practice?

Yes. Dr Zahraa Hussein is a female GP at Muswellbrook Doctors. Ask for her when you book — if she is not available on the day you want, reception will tell you when she is.

Do I need a referral for any of this?

No. Everything on this page is general practice care and you can book directly. Referrals are written by us where a specialist opinion is needed.

Is women's health care bulk billed here?

Standard consultations are bulk billed for everyone with a valid Medicare card. Some devices, procedures and privately purchased items carry a cost — reception will quote you before anything goes ahead.

Can I ask for a chaperone?

Yes, at any point, for any examination, without giving a reason. Our practice nurse can be in the room and you can also bring someone with you.

Can I collect my own cervical screening sample?

Yes. Self-collection is available to everyone eligible for screening and is offered here as standard. It is the same test and it is accurate for screening.

How long should I book for?

A standard consultation runs about ten minutes. Contraception, menopause, period problems and anything with more than one issue need a long appointment — say what it is about when you book.

Can I be seen about more than one thing?

Yes, but tell reception so the time is allocated. Four problems will not fit into ten minutes, and the important one usually ends up last.

What if I need a specialist?

We refer to gynaecology and other specialties as needed, with your history and results attached so the appointment starts from something. Read more about how referrals work.

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.

Relatedservices.

No surprises

Know the costbefore you come in.

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

Prefer to meet us first? Meet the doctors →

Men's health,and the checks men put off.

Heart checks, cancer screening, skin, sexual health — and the ones nobody raises first.

What to know before you book
Book a long appointmentA proper check does not fit into ten minutes. Say it is for a check-up when you book.
ECG and spirometry on siteHeart tracings and lung function tests are done here, and read during the same visit.
Come fasting if bloods are likelyIf you are expecting cholesterol or glucose testing, ask reception whether to fast beforehand.
One long appointmentBlood pressure, cholesterol, diabetes risk and weight in a single visit
Tests done hereECG and spirometry on site, with 4Cyte pathology in the same building
Nothing is too smallMood, sleep, alcohol and sexual health are ordinary things to raise

What's dueat your age?

Australia's screening programs and routine checks start at different ages and run on different clocks. Move the slider to see what generally applies.

Your age40
18304050607085

General information for the Australian population, not a personal screening plan. What is right for you depends on your own history — that is the conversation to have in the room.

Most of the risk is builtfrom things you can measure.

Chest pain now is a 000 callChest pain, pressure or tightness happening now — particularly with sweating, nausea, breathlessness, or pain spreading to the arm, neck or jaw — call 000. Do not drive yourself and do not wait for an appointment.

Coronary heart disease remains a leading cause of death for Australian men, and a large share of the risk is made up of numbers that take about twenty minutes to collect — blood pressure, cholesterol, blood sugar, weight and waist, smoking status and family history.

Put together they produce an estimate of your risk over the next five years. That number is not there to frighten anyone. It exists because it changes the conversation from a vague sense that you should do something to a specific list of the two or three things that would move it most.

What to bringIf you have a home blood pressure monitor, bring a fortnight of readings — they are more reliable than a single reading taken while you are sitting in a doctor's room. Bring your medicines too, and any readings from a workplace health check.
What actually happens in the appointment?

A history including your family, blood pressure, height, weight and waist, and usually a blood test for cholesterol and glucose. An ECG is often done on the same visit, here in our treatment room, and read while you are still in the room.

Do I need to fast?

Often yes for cholesterol and glucose, so ask reception when you book. It is frustrating to arrive having eaten and be asked to come back.

What is a good blood pressure?

For most adults, under 120 over 80 is ideal, and treatment thresholds depend on your overall risk rather than the number alone. One high reading is not a diagnosis — it is a reason to measure it again properly.

What if my risk comes back high?

Then you have found it before it found you. Most of what follows is unglamorous and effective: blood pressure, cholesterol, activity, sleep, alcohol, smoking and weight, in whatever order gives the biggest return for you.

Is chest pain something to book about?

No. Chest pain, pressure or tightness happening now — particularly with sweating, nausea, or pain into the arm, neck or jaw — is a 000 call. Do not drive yourself and do not wait for an appointment.

National programs exist.Skin is not one.

Screening is for people without symptomsRectal bleeding, a lasting change in your bowel habit, unexplained weight loss or persistent abdominal pain need an appointment whatever your last kit said — a normal screening result does not rule them out. The same goes for a lump or a change you have noticed anywhere: bring it in rather than waiting for the next kit.

Australia runs national screening programs for bowel and lung cancer, and both are funded or subsidised if you are eligible. Skin is different — there is no program, which puts it on you and on us.

Prostate is different again. There is still no national screening program, but the Australian guideline was updated in 2026 and it now recommends that GPs raise PSA testing with all men aged 50 to 69 and offer a test every two years after an informed discussion. A baseline test can also be offered at 40 to men who want one. In other words, we will bring it up — you do not have to.

The one most men skipThe bowel screening kit arrives in the post and goes in a drawer. It comes at no cost, it is done at home, it takes a few minutes, and it finds cancers early enough to matter. If yours has expired, we can help you order another.
How often should I have a skin check?

It depends on your history, your skin type and how much sun you have had. A full check needs a long appointment. Between checks, anything new, changing, or not healing after a few weeks is worth bringing in on its own.

What is involved in a full skin check?

A systematic look at your skin, head to toe, in good light, often with a dermatoscope. Come without makeup, remove nail polish, and point out anything that has changed or that worries you.

Should I have a PSA test?

The Australian guideline was revised in 2026 and now recommends that GPs offer two-yearly PSA testing to men aged 50 to 69, after a discussion about what a result would and would not mean. A baseline test at 40 can be offered to men who want one.

It is still a decision made together rather than a test done automatically, and family history, your age and your own view of the trade-offs all matter. The difference is that raising it is now our job, not yours.

Where do I get a bowel screening kit?

It is mailed to you automatically from 50 to 74. From 45 you can request your first kit. If yours is lost or out of date, raise it at your next appointment.

Am I eligible for lung screening?

It depends on your age and your smoking history — how much, and how recently. Ask us and we will work it out with you.

45 to 74, no cost

Bowel

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45 to 74, no cost

A test kit is mailed out at no cost from 50 to 74, every two years. From 45 you can request your first kit rather than waiting for it to arrive.

It is done at home, it takes minutes, and it is the screening test men are most likely to leave in the drawer.

50 to 70, if eligible

Lung

Read more
50 to 70, if eligible

A national screening program began in July 2025 for people aged 50 to 70 with a significant smoking history who have no symptoms.

Eligibility depends on how much and how recently you smoked. Ask whether you qualify — it is a low-dose CT scan, not a chest X-ray.

No screening program

Skin

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No screening program

Australia has one of the highest rates of skin cancer in the world, and men over 50 are the group most often diagnosed late — usually because the spot was somewhere they could not see.

There is no national program. It relies on someone noticing. Anything new, changing, or not healing after a few weeks is worth bringing in.

50 to 69, discuss

Prostate

Read more
50 to 69, discuss

There is no national screening program, but the 2026 Australian guideline recommends GPs offer two-yearly PSA testing to men aged 50 to 69 after an informed discussion.

A baseline test can be offered at 40 to men who want one. Family history matters, and so does your own view of the trade-offs.

The checks are quick. The conversation matters more.Blood pressure, cholesterol, bowel screening and the ones nobody raises first — in one long appointment, bulk billed.

The three nobodybrings up first.

If you need help nowLifeline 13 11 14, any hour of any day. 13YARN 13 92 76 for Aboriginal and Torres Strait Islander callers. MensLine 1300 78 99 78. In an emergency, or if someone's life is at risk, call 000.

These usually arrive at the end of an appointment, on the way out the door, prefaced with “while I am here”. Men are less likely than women to see a GP about mental health, and around three in four suicide deaths in Australia are men.

There is no special way to raise it. “I have not been sleeping” or “I have been drinking more than I used to” is a perfectly good opening sentence, and it is one we hear regularly. Book a long appointment and say it first rather than last.

Shift work countsA rotating roster does measurable things to sleep, mood and appetite, and around here a great many people work one. If sleep has not improved on your days off for months, that is a medical problem rather than a character flaw — we have written about shift work and sleep separately.
What is a Mental Health Treatment Plan?

A longer appointment where we go through what has been happening and write a plan together. It gives access to a number of Medicare-subsidised sessions with a psychologist, and it is reviewed after a few sessions to see whether it is working.

How much alcohol is too much?

Australian guidelines suggest no more than ten standard drinks a week and no more than four on any one day. Most people underestimate a standard drink considerably, so it is worth counting honestly for a week before deciding.

I am tired all the time. Is that worth an appointment?

Yes. Fatigue is one of the more useful symptoms to bring in because the causes range widely — sleep apnoea, iron, thyroid, mood, alcohol, diabetes, shift work. Several of them are simple to test for.

Is it confidential?

Yes. What you tell your doctor stays in your medical record and is not shared with your employer. Work medicals are separate, and even then the employer receives a fitness opinion, not your history.

What if I need help right now?

Call Lifeline on 13 11 14, any hour of any day. In an emergency, or if someone's life is at risk, call 000.

Routine for us,whatever it is.

Testicular pain is time-criticalSudden severe pain in a testicle, with or without swelling, needs assessment immediately — go to the emergency department or call 000. Testicular torsion is treatable, but only within a few hours. Any new lump also needs to be seen promptly.

Sexual health testing is straightforward, confidential and considerably more routine than most people expect. Many infections have no symptoms at all, which is the entire reason testing exists.

Erectile difficulty is worth raising for a reason beyond the obvious: it is sometimes an early sign of blood vessel disease, and it can be the first indication that a heart risk assessment is overdue. It is a medical symptom, not an embarrassment.

Say it plainlyReception do not need to know what it is about — “a private matter” is enough to get you a long appointment. Once you are in the room, saying it in the first minute rather than the last is the single most useful thing you can do.
What does testing involve?

Usually a urine sample and a blood test, sometimes a swab. It is quick, and results come back to us within a few days.

Is it bulk billed?

The consultation is bulk billed with a valid Medicare card, and most tests are covered. If anything carries a cost you will be told before it is ordered.

Will anyone find out?

No. Your record is confidential. If a notifiable infection is found there are public health processes for partner notification, and they are explained to you and can be done anonymously.

Is testosterone testing worth it?

Sometimes, but it is frequently requested for symptoms that turn out to have another cause — sleep, weight, alcohol, mood or thyroid. Testing is done in line with Australian guidance, which means at the right time of day and repeated before anything is concluded.

What about fertility?

Investigation involves both partners and there is more that can be done locally than most people expect. Generally worth looking after twelve months of trying, or six if your partner is over 35.

Assessments foremployers and insurers.

Pre-employment medicals, job evaluations and insurance reports are all done here. They are longer than a standard consultation, they are not a Medicare service, and they attract a private fee — quoted before you book so there are no surprises afterwards.

The report answers one question: can this person do this job safely. Your employer receives a fitness opinion and anything they are legally required to be told. They do not receive your medical history.

Coal industry assessmentsFrom 1 January 2026, Order 45 replaced Order 43 for NSW coal mine workers, using a single risk-based assessment valid up to three years — and an old Order 43 does not transfer to a new employer. These must be done by a provider approved under the Coal Services scheme. Ring reception before booking and they will tell you whether we can do yours or point you to somewhere that can.
How long does it take?

Considerably longer than a standard appointment — allow the better part of an hour, more if audiometry, spirometry and drug screening are all required.

What should I bring?

Photo ID, the employer's form or reference number, your glasses or contacts, hearing aids if you wear them, and a list of your medicines. Wear clothing you can move in.

Should I declare old injuries?

Yes. An undisclosed history that surfaces later causes far more trouble than one declared up front, and it can affect a future claim.

Who pays?

Often the employer pays directly. Check with them first and tell reception what the arrangement is when you book.

Is it bulk billed?

No. Work and insurance medicals are not Medicare services. You will be quoted the fee before the appointment.

Heart health checks

Blood pressure & cholesterol

Diabetes risk assessment

ECG on site

Bowel screening kits

Skin cancer checks

Prostate discussion & PSA

Sexual health testing

Mood, sleep & alcohol

Weight and lifestyle support

Pre-employment medicals

Spirometry on site

Heart health checks

Blood pressure & cholesterol

Diabetes risk assessment

ECG on site

Bowel screening kits

Skin cancer checks

Prostate discussion & PSA

Sexual health testing

Mood, sleep & alcohol

Weight and lifestyle support

Pre-employment medicals

Spirometry on site

Heart health checks

Blood pressure & cholesterol

Diabetes risk assessment

ECG on site

Bowel screening kits

Skin cancer checks

Prostate discussion & PSA

Sexual health testing

Mood, sleep & alcohol

Weight and lifestyle support

Pre-employment medicals

Spirometry on site

Men's healthquestions, answered.

I feel fine. Is a check-up worth it?

Most of what a check-up looks for has no symptoms in its early stages — blood pressure, cholesterol, blood sugar and early bowel changes among them. Feeling fine is the point at which these things are easiest to deal with.

How long should I book?

A long appointment. A proper check involves history, examination, and usually blood tests, and it does not fit into the ten minutes a standard consultation runs to.

Do I need to fast for blood tests?

Often yes for cholesterol and glucose. Ask reception when you book so you do not arrive having eaten.

Can I see a male GP?

Yes. There are male GPs at the practice — say who you would prefer when you book and reception will do their best to match it.

Is it all bulk billed?

Standard consultations are bulk billed for everyone with a valid Medicare card. Work and insurance medicals, and some procedures and privately purchased items, carry a fee that is quoted first.

Can I get everything done in one visit?

Often, yes — that is part of the reason ECG, spirometry and pathology are here in the same building. Tell reception what you want covered so enough time is allowed.

What if I need a specialist?

We refer with your history and results attached so the appointment starts from something. Read more about how referrals work when the specialist is in Newcastle.

Where do I start if it has been years?

Book a long appointment and say it has been a while. Nobody is going to lecture you. We will start with the numbers, work out what matters most, and go from there.

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.

Relatedservices.

No surprises

Know the costbefore you come in.

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

Prefer to meet us first? Meet the doctors →

Mental health care.You don't need the right words.

“I have not been sleeping” is a perfectly good opening sentence. So is “I have been drinking more than I used to”. Book a long appointment and say it first, not last.

Before you book
Ask for a long appointmentYou do not have to say why. “A long appointment, personal matter” is enough for reception.
Say it in the first minuteNot on the way out. It is the most common thing people leave too late in the visit.
Male and female GPsSay who you would prefer when you book, and ask for the same doctor next time.
Nothing is too smallYou do not have to be in crisis to be worth an appointment
Subsidised psychologyA treatment plan gives access to Medicare-subsidised sessions
Bulk billedStandard and long consultations, with a valid Medicare card

The things people talkthemselves out of.

If you need help nowLifeline 13 11 14, any hour of any day. 13YARN 13 92 76 for Aboriginal and Torres Strait Islander callers. Kids Helpline 1800 55 1800 for anyone aged 5 to 25. MensLine 1300 78 99 78. In an emergency, or if someone's life is at risk, call 000.

Most people wait far longer than they needed to. Not because the difficulty was small, but because it arrived gradually and they adjusted around it. These are the signs worth bringing in — in yourself, or in someone you are worried about.

Do I have to be in crisis?

No, and most people are not. Coming in earlier means more options and an easier path than waiting until things are severe.

What if I cannot explain it?

That is extremely common and it is not a problem. “Something is not right and I do not know what” is a completely workable place to start.

Can I come about someone else?

Yes. You can book to talk about how to help a family member, and to look after yourself while you do it.

Mood

Flat rather than sad

Read more
MoodFlat rather than sad

Many people expect tears. Far more common is a greyness — nothing is terrible, nothing is enjoyable either.

Mood

Irritable with the people closest to you

Read more
MoodIrritable with the people closest to you

Short fuse at home while holding it together everywhere else is a very common early pattern.

Mood

Worry that will not switch off

Read more
MoodWorry that will not switch off

A mind that keeps running the same loop, especially at night, and cannot be reasoned out of it.

Mood

Feeling like a burden

Read more
MoodFeeling like a burden

Believing others would be better off without you is a sign to be seen soon, not something to sit with.

Sleep & energy

Waking at 3am

Read more
Sleep & energyWaking at 3am

Falling asleep fine and waking in the early hours, unable to get back, is a classic pattern worth reporting.

Sleep & energy

Tired regardless of sleep

Read more
Sleep & energyTired regardless of sleep

Exhaustion that a good night does not touch. Worth checking physically as well — thyroid, iron and sleep apnoea look similar.

Sleep & energy

Sleeping far more than usual

Read more
Sleep & energySleeping far more than usual

Withdrawal into sleep can be as significant as not sleeping at all.

In your body

Chest tightness or racing heart

Read more
In your bodyChest tightness or racing heart

Anxiety is physical. It is still worth having the physical causes checked, which we can do here.

In your body

Appetite has changed

Read more
In your bodyAppetite has changed

Eating noticeably more or less, or losing interest in food, often shifts before mood does.

In your body

Headaches, gut trouble, aches

Read more
In your bodyHeadaches, gut trouble, aches

Persistent physical symptoms with no clear cause are a common way that stress presents.

What you have stopped doing

Cancelling things you used to enjoy

Read more
What you have stopped doingCancelling things you used to enjoy

Quietly dropping sport, friends or hobbies is often the first outward sign.

What you have stopped doing

Drinking more than you used to

Read more
What you have stopped doingDrinking more than you used to

Especially if it has become the way you get to sleep or wind down. Worth raising early.

What you have stopped doing

Avoiding people

Read more
What you have stopped doingAvoiding people

Screening calls, leaving messages unanswered, finding reasons not to go.

What you have stopped doing

Struggling at work

Read more
What you have stopped doingStruggling at work

Missing deadlines, mistakes that are not like you, or dreading Monday from Friday.

In someone else

They have gone quiet

Read more
In someone elseThey have gone quiet

Withdrawal from the people who usually hear from them is worth a direct question.

In someone else

Giving things away

Read more
In someone elseGiving things away

Settling affairs, giving away possessions or saying goodbye-shaped things needs acting on immediately.

In someone else

A change everyone has noticed

Read more
In someone elseA change everyone has noticed

If several people have independently said the same thing, that is meaningful.

Ask directly if you are worried about someone. Asking about suicide does not plant the idea — it usually comes as a relief.

Asking for help is the hardest appointment to book.It is also the one people most often say they wish they had made sooner.

A plan is how thesubsidy works.

A Mental Health Treatment Plan is a longer appointment where we go through what has been happening and write a plan together. It gives access to a set number of Medicare-subsidised sessions with a psychologist or other mental health professional in a calendar year, and it is reviewed after a few sessions to see whether it is helping.

Worth knowing before you bookA treatment plan appointment is long by design. If you book a standard consultation you will likely be asked to come back, which wastes a visit. Say what it is for and reception will allocate the time.
How many sessions do I get?

A set number per calendar year, with a review partway through. Reception can tell you the current number when you book.

Will it cost me anything?

The planning appointment is bulk billed here with a valid Medicare card. Psychologists set their own fees and many charge a gap above the Medicare rebate — ask when you book with them.

Do I have to see a psychologist?

No. A plan is one option. Some people do better with medication, some with both, and some with neither — we talk it through rather than assume.

Is it on my record?

Yes, in your confidential medical record like anything else. It is not shared with employers or insurers without your consent.

In the plan

What has been happening

Read more
In the planWhat has been happening

In your words. There is no test to pass and nothing you have to prove.

In the plan

What you want to change

Read more
In the planWhat you want to change

Sleeping through the night, getting back to sport, being less short with the kids. Specific beats general.

In the plan

Who is involved

Read more
In the planWho is involved

Your GP, a psychologist if that suits, and anyone else you want included.

In the plan

What to do if it worsens

Read more
In the planWhat to do if it worsens

Written down while you are well enough to think clearly, which is exactly when it should be decided.

In the plan

A review

Read more
In the planA review

Booked in from the start, to check whether it is actually working.

In the plan

Your copy

Read more
In the planYour copy

You take it with you. So does the psychologist, so you do not start from scratch.

From bookingto being seen.

Four steps, and the first one is the hardest.

What if I change my mind in the room?

That is fine. Plenty of people come in for something else and raise this at the end. We would rather you said it at all than said it on time.

Can I bring someone?

Yes. Many people find it easier with a partner, parent or friend in the room, at least at the start.

How soon can I be seen?

Ring reception and say it is urgent if it is. Same-day slots are held each morning.

1Ring and bookAsk for a long appointment. You do not have to explain why to reception — “a personal matter” is enough.No explanation needed
2Say it earlyIn the first minute rather than the last. It changes how the whole appointment is spent.The hard part
3Make a plan togetherWhat is going on, what would help, and what happens next. Sometimes that is a treatment plan, sometimes it is something simpler.Long appointment
4Come backFollow-up is where most of the work happens. It is booked before you leave rather than left to you.Booked in

Mental Health Treatment Plans

Subsidised psychology sessions

Anxiety & low mood

Sleep problems

Alcohol & other drugs

Grief & loss

Stress at work

Longer appointments available

Referral to psychology & psychiatry

Mental Health Treatment Plans

Subsidised psychology sessions

Anxiety & low mood

Sleep problems

Alcohol & other drugs

Grief & loss

Stress at work

Longer appointments available

Referral to psychology & psychiatry

Mental Health Treatment Plans

Subsidised psychology sessions

Anxiety & low mood

Sleep problems

Alcohol & other drugs

Grief & loss

Stress at work

Longer appointments available

Referral to psychology & psychiatry

Mental healthquestions, answered.

How do I bring it up?

Say it plainly and say it first. “I want to talk about how I have been feeling” is all it takes.

Is it confidential?

Yes. What you tell your doctor stays in your medical record. It is not shared with your employer, and work medicals are entirely separate.

Is it bulk billed?

Standard and long consultations, including treatment plan appointments, are bulk billed with a valid Medicare card.

Do I need a referral?

No. Book directly with us. We write the referral if you go on to see a psychologist or psychiatrist.

Will I be put on medication?

Not automatically. Medication is one option among several, and it is discussed rather than assumed.

Can I see the same GP each time?

Yes, and it is worth asking for. Not having to retell the story every visit matters here more than almost anywhere.

What about my teenager?

Older teenagers can be seen alone and confidentiality is taken seriously within the usual limits around safety.

What if I need help tonight?

Lifeline 13 11 14, any hour. In an emergency call 000 or go to Muswellbrook Hospital.

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.

Relatedservices.

No surprises

Know the costbefore you come in.

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

Prefer to meet us first? Meet the doctors →

Care for older adults.More medicines, more to review.

Getting older is not a diagnosis. But it does mean more medicines, more interactions, and more things that get quietly put up with when they could be fixed.

What to know
Book the right lengthTell reception what it is about so enough time is set aside.
No referral neededThis is general practice care — you can book directly with us.
Ask for who you preferMale and female GPs are available. Say who you would like when you book.
One practiceYour history in one place, so nothing has to be explained twice
Longer if you need itAsk reception for a long appointment when there is more than one thing
Bulk billedStandard consultations, for everyone with a valid Medicare card

An hour to lookat the whole picture.

From 75 onward, an annual health assessment is available through Medicare. It is a long appointment, usually with the practice nurse and then the GP, and it covers the things a ten-minute consultation never gets to: balance, memory, hearing, vision, continence, mood, nutrition, medicines and how you are actually managing at home.

It often produces the most useful outcome of any appointment — not a new diagnosis, but two or three practical changes that keep you independent longer.

Bring every boxIncluding things from another doctor, the supermarket, and anything a friend recommended. Interactions are the single most common fixable problem.
Do I have to be unwell to have one?

No. It is most useful when you feel fine, because that is when problems are small enough to fix easily.

Is it bulk billed?

Yes, with a valid Medicare card.

What is a Home Medicines Review?

A pharmacist visits you at home, goes through every medicine, and reports back to your GP. It is very good at finding duplicates and interactions.

What we check

Balance and falls risk

Read more
What we checkBalance and falls risk

Including a simple walking and balance test.

What we check

Every medicine

Read more
What we checkEvery medicine

Doses, duplicates, interactions and anything that could be stopped.

What we check

Memory and mood

Read more
What we checkMemory and mood

Both are commonly missed and both are worth knowing about early.

What we check

Hearing and vision

Read more
What we checkHearing and vision

Two of the biggest causes of isolation, and both often fixable.

What we check

Continence and bowel habit

Read more
What we checkContinence and bowel habit

Rarely raised, frequently treatable, and life-changing when sorted.

What we check

How home is working

Read more
What we checkHow home is working

Steps, lighting, rails, cooking, driving and who is nearby.

The things that getput up with quietly.

Get seen the same dayA fall with a head knock, especially on blood thinners · sudden confusion · stroke signs (face drooping, arm weakness, speech difficulty) · chest pain · sudden severe breathlessness. Call 000. Sudden confusion in an older person is very often a treatable infection — it needs assessing, not waiting out.

Most of what limits people as they get older is not one dramatic event. It is a slow accumulation of things that never quite got mentioned.

When should I worry about memory?

Forgetting names and where you put things is common. Getting lost somewhere familiar, repeating the same question in one conversation, or struggling with tasks you have done for decades is worth assessing.

Is one fall a problem?

Yes. One fall roughly doubles the chance of another, and most causes — blood pressure, medicines, vision, footwear, strength — are treatable.

What about feeling low?

Depression in older adults often shows as tiredness, pain and withdrawal rather than sadness. It is not a normal part of ageing.

Falls

Any fall, even a small one

Read more
FallsAny fall, even a small one

One fall roughly doubles the risk of another. Nearly always worth investigating.

Balance

Holding furniture to move around

Read more
BalanceHolding furniture to move around

A quiet adaptation that signals a fixable balance or strength problem.

Dizziness

Light-headed on standing

Read more
DizzinessLight-headed on standing

Often blood pressure medicines. Frequently adjustable.

Strength

Struggling out of a low chair

Read more
StrengthStruggling out of a low chair

Leg strength is trainable at any age, and it protects independence.

Memory

Repeating the same question

Read more
MemoryRepeating the same question

Within one conversation, rather than across a week.

Confusion

Getting lost somewhere familiar

Read more
ConfusionGetting lost somewhere familiar

Different from forgetting a name. Worth assessing.

Mood

Withdrawing from things you enjoyed

Read more
MoodWithdrawing from things you enjoyed

Depression in older adults often looks like tiredness and pain rather than sadness.

Sleep

Sleep that has changed markedly

Read more
SleepSleep that has changed markedly

Both a symptom and a cause. Worth untangling.

Hearing

Turning the television up, or avoiding groups

Read more
HearingTurning the television up, or avoiding groups

Untreated hearing loss is strongly linked to isolation and to memory decline.

Vision

Glare, blurring or missing steps

Read more
VisionGlare, blurring or missing steps

Also one of the biggest falls risks.

Weight

Clothes getting looser

Read more
WeightClothes getting looser

Unintentional weight loss always needs a reason.

Continence

Planning your day around toilets

Read more
ContinencePlanning your day around toilets

Very common, very rarely raised, and often treatable.

Medicines

Losing track of doses

Read more
MedicinesLosing track of doses

A packed or dated pack solves this, and a review may reduce the number.

Driving

Near misses, or family worrying

Read more
DrivingNear misses, or family worrying

Better discussed early and honestly than after an incident.

Eating

Skipping meals or living on toast

Read more
EatingSkipping meals or living on toast

Nutrition drives strength, healing and mood.

None of these are inevitable. Most have something that can be done about them.

Most of what limits people is never mentioned.Which is why the assessment asks, rather than waiting to be told.

Long appointment,nurse and GP.

Health assessments are booked as a long appointment, usually starting with the practice nurse.

How long does it take?

Around an hour in total, often split between the nurse and your GP.

Can family come?

Yes, and it usually helps. A second perspective often fills in what gets minimised.

Can you help with My Aged Care?

Yes. We can make the referral for an assessment and support you through it.

1Book the assessmentAvailable annually from age 75. Say it is a health assessment.Yearly
2Bring everythingAll medicines in their boxes, your glasses, and a family member if you like.On the day
3Nurse then GPMeasurements, balance, memory, hearing, mood and home. Then the clinical decisions.About an hour
4A practical planUsually two or three concrete changes, plus referrals where they help.Same day

75+ health assessments

Falls prevention

Medication reviews

Memory concerns

My Aged Care referrals

Home Medicines Review

Bulk billed

Continuity with your GP

75+ health assessments

Falls prevention

Medication reviews

Memory concerns

My Aged Care referrals

Home Medicines Review

Bulk billed

Continuity with your GP

75+ health assessments

Falls prevention

Medication reviews

Memory concerns

My Aged Care referrals

Home Medicines Review

Bulk billed

Continuity with your GP

Older adultsquestions, answered.

What is a 75+ health assessment?

An annual Medicare-funded long appointment covering the whole picture — balance, memory, medicines, senses, mood and home.

Is it bulk billed?

Yes, with a valid Medicare card.

How long does it take?

About an hour, usually with the practice nurse and then your GP.

Can you refer me to My Aged Care?

Yes, we can make the referral and help with the process.

What is a Home Medicines Review?

A pharmacist reviews all your medicines at home and reports back to your GP.

I have had a fall. Should I book?

Yes. One fall is a strong predictor of another, and most causes are treatable.

I am worried about my memory.

Book a long appointment. Assessment is worth having — some causes are entirely reversible.

Do you do home visits?

Ring and ask. It depends on circumstances and doctor availability.

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.

Relatedservices.

No surprises

Know the costbefore you come in.

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

Prefer to meet us first? Meet the doctors →

Sexual health,confidential and routine.

Most sexually transmitted infections cause no symptoms whatsoever. That is the entire reason testing exists — and it is why a normal-feeling body is not evidence of anything.

What to know
Book the right lengthTell reception what it is about so enough time is set aside.
No referral neededThis is general practice care — you can book directly with us.
Ask for who you preferMale and female GPs are available. Say who you would like when you book.
One practiceYour history in one place, so nothing has to be explained twice
Longer if you need itAsk reception for a long appointment when there is more than one thing
Bulk billedStandard consultations, for everyone with a valid Medicare card

Testing, treating,and preventing.

Sexual health care here covers testing for chlamydia, gonorrhoea, syphilis, HIV, hepatitis B and C, plus contraception, emergency contraception, vaccination, and any symptom you are worried about. Most testing is a urine sample, a blood test, or a swab you can often take yourself.

Chlamydia is the most commonly notified sexually transmissible infection in Australia and most people who have it have no idea. Untreated it can affect fertility. It is also cured with a short course of antibiotics, which is a good reason to find it early.

No symptoms is the normal stateChlamydia, gonorrhoea and early syphilis very often cause nothing at all. Waiting to feel something is how infections get passed on and how complications develop.
Do I need symptoms to get tested?

No, and most people do not have any. Testing is recommended based on your circumstances, not your symptoms.

How often should I be tested?

Annually if you are sexually active and under 30, or more often with new or multiple partners. We will talk through what fits you.

Is it confidential?

Yes. Consultations are confidential, and certain infections are notified to health authorities without your name being made public.

Testing

Chlamydia and gonorrhoea

Read more
TestingChlamydia and gonorrhoea

Usually a urine sample or a self-collected swab. Quick and painless.

Testing

Syphilis, HIV, hepatitis

Read more
TestingSyphilis, HIV, hepatitis

A single blood test covers these together.

Prevention

Vaccination

Read more
PreventionVaccination

Hepatitis B and HPV vaccination are both available here.

Prevention

Contraception

Read more
PreventionContraception

Every option, from the pill to long-acting methods, discussed properly.

If needed

Emergency contraception

Read more
If neededEmergency contraception

Time-critical. The emergency contraceptive pill is available from any pharmacy without a prescription — get it there first if you cannot be seen today, then book with us. A copper IUD is the most effective option and can be fitted up to five days after.

If needed

Treatment and partner notification

Read more
If neededTreatment and partner notification

Most infections are cured simply. Partners need testing too, and there are anonymous ways to let them know.

Worth a visit,symptoms or not.

Sudden testicular pain is an emergencySudden severe pain or swelling in a testicle, with or without nausea, needs assessment within hours. Go to Muswellbrook Hospital, 36 Brentwood Street, or call 000. Twisting of the testicle is a surgical emergency and treatment is time-critical. Get seen the same day for severe lower abdominal pain with fever, or for pain or bleeding after a sexual assault. If you have been assaulted, you can come here, go to Muswellbrook Hospital, or ring the NSW Sexual Violence Helpline on 1800 424 017, any hour. You do not have to report to police to get care. If there is any chance of HIV exposure, preventive treatment must start within 72 hours and sooner is better — ring us, go to the hospital, or call the NSW Sexual Health Infolink on 1800 451 624.

Symptoms are not required. But when they do appear, they should not be waited out.

Should I test after a new partner?

Testing a couple of weeks after a new partner is sensible and completely routine. No explanation is needed.

Can I be tested if I have no symptoms?

Yes, and that is the majority of testing that happens.

What if my partner has been diagnosed?

Come in. You may need treatment even before your own results return.

Discharge

Any new or changed discharge

Read more
DischargeAny new or changed discharge

From the genitals or anus, with or without odour or itch.

Pain

Burning when passing urine

Read more
PainBurning when passing urine

Common with both infections and urinary problems. Worth distinguishing.

Skin

Sores, ulcers, lumps or a rash

Read more
SkinSores, ulcers, lumps or a rash

Including painless ones. Painless is not reassuring — early syphilis is often painless.

Whole body

Fever, aches, swollen glands

Read more
Whole bodyFever, aches, swollen glands

Sometimes the first sign of HIV or another infection.

Bleeding

Bleeding between periods or after sex

Read more
BleedingBleeding between periods or after sex

Always worth assessing, whatever the likely cause.

Pain

Deep pain during sex

Read more
PainDeep pain during sex

New pain, particularly with discharge or fever, needs checking.

Pain

Lower abdominal pain

Read more
PainLower abdominal pain

Especially with fever — pelvic infection needs prompt treatment to protect fertility.

Itch

Persistent itch or irritation

Read more
ItchPersistent itch or irritation

Often not an infection at all, but worth sorting rather than self-treating repeatedly.

Testicles

Pain or swelling

Read more
TesticlesPain or swelling

Sudden severe testicular pain is an emergency, not a wait-and-see.

Discharge

Any discharge from the penis

Read more
DischargeAny discharge from the penis

Even small amounts, and even if it settles.

Skin

Lumps, sores or a rash

Read more
SkinLumps, sores or a rash

On the penis, scrotum, or around the anus.

New partner

Any new sexual partner

Read more
New partnerAny new sexual partner

A test a couple of weeks later is routine and sensible.

Partner diagnosed

Your partner has an infection

Read more
Partner diagnosedYour partner has an infection

Come in — you may need treating before your results return.

Condom issues

A condom broke, or was not used

Read more
Condom issuesA condom broke, or was not used

Testing, emergency contraception if relevant, and — where HIV exposure is possible — preventive treatment, which must start within 72 hours.

No reason needed

Annual check if under 30 and active

Read more
No reason neededAnnual check if under 30 and active

No trigger, no symptoms, no explanation required.

You never need a reason beyond wanting to know. Reception will not ask why.

Confidential means confidential.Including for young people who can consent to their own care.

Discreet,straightforward.

Say you would like a sexual health appointment when booking. Reception will not ask for details.

Can I ask for a female or male doctor?

Yes, always. Say who you would prefer when you book.

Will my parents find out?

Young people who understand the care being offered can consent to it themselves, and consultations are confidential. We would encourage involving a trusted adult, but it is your decision.

How do I get results?

Book a follow-up, in person or by telehealth. We contact you directly if something needs treatment.

1BookSay it is a sexual health appointment. No further detail needed at reception.Any time
2The conversationConfidential. What tests make sense depends on your circumstances, not your symptoms.10–20 minutes
3The testsUsually urine, blood, or a swab you can take yourself in privacy.Same visit
4Results and treatmentWe contact you if treatment is needed. Most infections are cured simply.Days

Confidential STI testing

No symptoms needed

Male & female GPs

Contraception advice

Emergency contraception

Vaccination & prevention

Bulk billed

Young people welcome

Confidential STI testing

No symptoms needed

Male & female GPs

Contraception advice

Emergency contraception

Vaccination & prevention

Bulk billed

Young people welcome

Confidential STI testing

No symptoms needed

Male & female GPs

Contraception advice

Emergency contraception

Vaccination & prevention

Bulk billed

Young people welcome

Sexual healthquestions, answered.

Is it confidential?

Yes. Consultations are confidential, including for young people.

Do I need symptoms?

No. Most infections cause none, which is exactly why testing exists.

Is testing bulk billed?

Standard consultations are bulk billed with a valid Medicare card.

What does testing involve?

Usually a urine sample, a blood test, or a self-collected swab.

How often should I test?

Annually if under 30 and sexually active, or more often with new partners.

Can I get emergency contraception?

Yes. It is also available from any pharmacy without a prescription, so get it there first if you cannot be seen today. A copper IUD is more effective again and can be fitted up to five days after.

Can I see a female doctor?

Yes. Say so when you book.

What if I have been assaulted?

Come here, go to Muswellbrook Hospital, or ring the NSW Sexual Violence Helpline on 1800 424 017. You do not have to report to police to get care.

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.

Relatedservices.

No surprises

Know the costbefore you come in.

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

Prefer to meet us first? Meet the doctors →

Family planning,whichever way you are leaning.

Family planning covers both directions: choosing contraception that fits the life you actually live, and getting a body ready when you decide you do want a pregnancy.

What to know
Book the right lengthTell reception what it is about so enough time is set aside.
No referral neededThis is general practice care — you can book directly with us.
Ask for who you preferMale and female GPs are available. Say who you would like when you book.
One practiceYour history in one place, so nothing has to be explained twice
Longer if you need itAsk reception for a long appointment when there is more than one thing
Bulk billedStandard consultations, for everyone with a valid Medicare card

Both directions,without judgement.

Contraception is not one decision made once. It changes with age, with relationships, with whether you have finished having children, and with how much you want to think about it day to day. The most effective methods are the ones you do not have to remember.

Preconception care is the other half. Folate started at least a month before conception reduces the risk of neural tube defects, and iodine is recommended too. Checking immunity to rubella and chickenpox, reviewing medicines that are unsafe in pregnancy, and getting long-term conditions stable all work better before conception than after.

Effectiveness in real life is what countsMethods are quoted two ways: perfect use and typical use. For anything you have to remember daily, the gap between the two is large — which is why long-acting methods come out ahead.
Which contraception is most effective?

Long-acting methods — implants and intrauterine devices — are the most effective, because they do not depend on remembering anything.

Can I change my mind?

Yes, with every method. All are reversible except sterilisation, and fertility returns after removal.

When should I start preconception care?

About three months before trying. Folate should be started at least a month before conception.

Long-acting

Contraceptive implant

Read more
Long-actingContraceptive implant

A small rod in the upper arm, lasting up to three years. Most effective category.

Long-acting

Hormonal IUD

Read more
Long-actingHormonal IUD

Placed in the uterus. Approved for five or eight years for contraception depending on which device is used, and five years when used for heavy bleeding. We will tell you which applies to yours.

Long-acting

Copper IUD

Read more
Long-actingCopper IUD

Hormone-free, effective for up to ten years, and usable as emergency contraception.

Shorter-acting

The pill, ring or injection

Read more
Shorter-actingThe pill, ring or injection

Effective when used consistently. Suits people who want more day-to-day control.

Permanent

Sterilisation

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PermanentSterilisation

For those certain they have finished. Referral to a specialist, and a decision worth taking time over.

Planning a pregnancy

Preconception check

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Planning a pregnancyPreconception check

Folate and iodine, immunity checks, medication review and getting conditions stable.

Three months before, not the month of.Preconception care starts earlier than most people think.

A conversation first,then the method.

Contraception appointments are longer than a standard consult, because the decision is worth talking through.

Do you fit implants and IUDs here?

Ring and ask. Some procedures are done in the practice and some require referral, depending on the method and doctor availability.

Is it bulk billed?

Consultations are bulk billed with a valid Medicare card. Devices themselves may have a cost — you will be told before anything is arranged.

How long before I can get pregnant after stopping?

It varies by method. Most return to normal quickly; the injection can take longer. We will explain what applies to yours.

1Book a long appointmentSay it is about contraception or planning a pregnancy.Book ahead
2The conversationYour health, your plans, and what you can realistically keep up with.20 minutes
3The methodStarted, prescribed, fitted, or referred depending on what you choose.Same or next visit
4ReviewA check that it is working for you, and a change if it is not.Weeks to months

Contraception advice

Every method compared

Implants & IUDs

Emergency contraception

Preconception care

Folate & iodine

Bulk billed

Male & female GPs

Contraception advice

Every method compared

Implants & IUDs

Emergency contraception

Preconception care

Folate & iodine

Bulk billed

Male & female GPs

Contraception advice

Every method compared

Implants & IUDs

Emergency contraception

Preconception care

Folate & iodine

Bulk billed

Male & female GPs

Family planningquestions, answered.

What is the most effective contraception?

Long-acting methods — implants and IUDs — because they do not depend on remembering.

Do you fit implants and IUDs?

Ring and ask. Some are done here, some referred, depending on the method and doctor.

Is it bulk billed?

Consultations are. Devices may have a cost, which you will be told beforehand.

Can I get emergency contraception?

Yes, and the sooner the better. The emergency contraceptive pill is available from any pharmacy without a prescription, so get it there first if you cannot be seen today. A copper IUD is the most effective option and can be fitted up to five days after.

When should I start folate?

At least a month before conception, and continue through the first trimester.

Do I need a preconception appointment?

It is worth having, especially if you take regular medicines or have a long-term condition.

Can I see a female doctor?

Yes. Say so when you book.

How soon can I get pregnant after stopping?

It depends on the method. Most return to normal quickly; the injection can take longer.

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.

Relatedservices.

No surprises

Know the costbefore you come in.

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

Prefer to meet us first? Meet the doctors →

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

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.

Relatedservices.

No surprises

Know the costbefore you come in.

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

Prefer to meet us first? Meet the doctors →

ADHD assessmentfor adults and children.

Wondering whether ADHD explains what you have been dealing with? Here is what ADHD actually is, the signs people most often notice, and what an assessment with us involves.

The things people ask first
Dr Zahraa Hussein is a GPShe is a general practitioner, not a specialist psychiatrist or paediatrician. Some presentations are better assessed by one, and we will tell you if yours is.
More than one appointmentA long first appointment and at least one follow-up, with questionnaires or school information gathered in between.
Adults and childrenBoth are assessed. What we gather differs — school reports matter more for children.

ADHD is a difference in howthe brain manages attention.

ADHD stands for attention deficit hyperactivity disorder. It is a neurodevelopmental condition, which means it is part of how a brain has developed rather than something caused by upbringing, screens, sugar or a lack of effort. It begins in childhood, even when it is not recognised until much later.

Is ADHD a real medical condition?

Yes. It is a recognised neurodevelopmental condition with defined diagnostic criteria, and it is one of the most studied conditions in child and adult mental health. It is not a label for laziness, poor discipline or bad parenting.

Can you develop ADHD as an adult?

No — the criteria require that the difficulties were present in childhood. What often happens is that they were compensated for successfully for years, and only became a problem when the external structure fell away: leaving school, a new job, a promotion, a baby, or a change in shift work.

Is it more common in boys?

It is diagnosed more often in boys, but that gap is thought to reflect how it presents rather than how common it is. Girls and women more often have the inattentive presentation, which is quieter and easier to overlook, so many are not identified until adulthood.

How it shows up

Predominantly inattentive

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How it shows upPredominantly inattentive

The quiet end. Losing track, drifting off, forgetting, disorganisation. No disruption at all — which is exactly why it gets missed, particularly in girls and women.

How it shows up

Predominantly hyperactive-impulsive

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How it shows upPredominantly hyperactive-impulsive

Restlessness, interrupting, acting before thinking. More visible, so more often picked up in childhood. In adults it is often internal rather than obvious.

How it shows up

Combined

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How it shows upCombined

Features of both, and the most common pattern. The balance between them often shifts with age — hyperactivity tends to soften, inattention tends to stay.

Worth knowing

It is not a shortage of attention

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Worth knowingIt is not a shortage of attention

It is difficulty directing it. The same person can lose an afternoon to something absorbing and be unable to start a ten-minute task that does not interest them.

Worth knowing

It begins in childhood

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Worth knowingIt begins in childhood

Even when nobody names it until much later. Many adults were simply managing it — until a new job, a baby or a change in shift work removed the structure that was holding it together.

Worth knowing

It is common, and it runs in families

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Worth knowingIt is common, and it runs in families

Australian estimates suggest around one in twenty people. Plenty of adults start wondering only after a child, sibling or partner is assessed.

Other explanations

Not parenting

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Other explanationsNot parenting

ADHD is neurodevelopmental. It is not created by discipline, routine or anything a parent did or did not do.

Other explanations

Not sugar or screens

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Other explanationsNot sugar or screens

Both get blamed. Neither causes ADHD, though poor sleep — whatever the reason for it — makes every symptom harder to live with.

Other explanations

Not a lack of effort

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Other explanationsNot a lack of effort

Most people with ADHD are working considerably harder than those around them to produce the same result. That effort is invisible, and it is exhausting.

ADHD is diagnosed against defined criteria by looking at the whole picture over time — not from a list like this one.

What people noticein themselves.

Most adults who come to us have not suddenly developed a problem. They have been managing something for a long time, often with a lot of effort, and something has finally tipped it over — a job that got harder to hold together, or a child being assessed and the questionnaire sounding uncomfortably familiar.

This is not a self-testLists like this are a starting point for a conversation, not a diagnosis. Several other things produce exactly the same difficulties — poor sleep, thyroid problems, low iron, anxiety, depression, alcohol, and the effects of shift work. An assessment exists to tell those apart.
Attention and focus

Starting tasks is harder than doing them. Losing the thread mid-conversation or mid-page. Reading something three times without it going in. Losing hours to something interesting while the urgent thing sits untouched.

Organisation and time

Underestimating how long things take. Deadlines that arrive suddenly. Paperwork, bills and renewals that pile up. A house or car that swings between chaos and a burst of total reorganisation.

Memory and follow-through

Walking into rooms and forgetting why. Losing phones, keys and wallets often. Intending to reply to a message and realising a fortnight has passed.

Focus

Starting is harder than doing

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FocusStarting is harder than doing

The task is not difficult, but beginning it feels impossible — until a deadline makes it urgent, and then it gets done in one burst.

Focus

Reading the same line three times

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FocusReading the same line three times

Words go in and straight back out. It happens most with things you have to read rather than want to read.

Focus

Losing hours to the interesting thing

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FocusLosing hours to the interesting thing

Deep, effortless focus on something absorbing, while the urgent thing sits untouched. This is part of the pattern, not evidence against it.

Focus

Drifting mid-conversation

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FocusDrifting mid-conversation

You realise you have missed the last thirty seconds, and have to reconstruct it from context.

Organisation

Time works differently

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OrganisationTime works differently

Everything takes longer than you estimated. Deadlines seem far away and then arrive all at once.

Organisation

Paperwork piles up

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OrganisationPaperwork piles up

Bills, renewals, forms and appointments accumulate — not because you do not care, but because opening them is the hard part.

Organisation

Chaos, then a total reorganisation

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OrganisationChaos, then a total reorganisation

Long stretches of mess punctuated by a burst of reorganising everything at once, usually at an odd hour.

Organisation

Losing things constantly

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OrganisationLosing things constantly

Keys, phone, wallet, glasses. Often several times a day, and often somewhere you have already looked.

Memory

Walking in and forgetting why

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MemoryWalking in and forgetting why

The thought was there on the way, and gone at the door.

Memory

Meaning to reply, and not

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MemoryMeaning to reply, and not

You read the message, compose the answer in your head, and a fortnight passes.

Memory

Remembering the wrong things

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MemoryRemembering the wrong things

Vivid recall for detail nobody else retained, alongside no memory of an appointment made yesterday.

Restlessness

Driven, even when tired

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RestlessnessDriven, even when tired

Difficulty doing nothing. Sitting through a film or a long meal takes real effort.

Restlessness

Speaking before you have decided to

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RestlessnessSpeaking before you have decided to

Interrupting, finishing sentences, or saying the thing and hearing it at the same time as everyone else.

Restlessness

Deciding fast, regretting later

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RestlessnessDeciding fast, regretting later

Purchases, plans and commitments made quickly. The appeal is real in the moment and gone by morning.

Emotions

Frustration that arrives and passes fast

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EmotionsFrustration that arrives and passes fast

Out of proportion for a few minutes, then genuinely over — while everyone else is still upset.

Emotions

Criticism lands hard

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EmotionsCriticism lands hard

A small correction can flatten the day. Many people describe this as the most wearing part.

Emotions

Working harder than everyone else to keep up

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EmotionsWorking harder than everyone else to keep up

Managing it is possible, but it costs more effort than it seems to cost other people — and that is exhausting.

No single item here means much on its own — everyone loses their keys. What matters is the pattern: how far back it goes, whether it shows up in more than one part of your life, and whether it is genuinely costing you something.

What parents and teacherstend to see first.

In children the difficulties usually show up at school before anyone puts a name to them — not because school causes it, but because school asks for sustained attention, sitting still and following multi-step instructions all day.

Being able to focus on the fun thing is not evidence against itA child who will play a game or build something for three hours can still have ADHD. Attention that is hard to direct — rather than absent — is part of the pattern, and it is the single most common reason parents talk themselves out of asking.
At school

Losing track of instructions. Work started but not finished. Careless errors in work the child clearly understands. Fidgeting, calling out, leaving their seat. Reports that repeatedly say “capable, but needs to apply themselves”.

At home

Homework that should take twenty minutes taking two hours and ending in tears. Needing to be asked many times. Getting distracted halfway through getting dressed. Big emotional reactions that pass quickly.

With friends

Interrupting games or changing the rules. Difficulty waiting for a turn. Falling out with friends easily, then not being sure why.

At school

Instructions go missing

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At schoolInstructions go missing

A three-step instruction arrives and only the first step survives. Not defiance — the rest did not stay.

At school

Work started, not finished

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At schoolWork started, not finished

Books full of half-completed tasks, often on topics the child clearly understands.

At school

Careless errors in easy work

Read more
At schoolCareless errors in easy work

Mistakes in things they can plainly do, usually because attention moved before the task ended.

At school

“Capable, but needs to apply themselves”

Read more
At school“Capable, but needs to apply themselves”

The same comment on reports year after year is worth taking seriously rather than accepting.

At school

Out of the seat

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At schoolOut of the seat

Fidgeting, calling out, wandering. More visible in boys, which is part of why girls are diagnosed later.

At home

Homework takes hours

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At homeHomework takes hours

Twenty minutes of work stretching into two hours and ending in tears, several nights a week.

At home

Asked many times

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At homeAsked many times

Getting dressed stalls halfway. It reads as ignoring you, and it usually is not.

At home

Mornings are a battle

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At homeMornings are a battle

The same sequence every day, and every day it needs the same amount of supervision.

At home

Big reactions that pass quickly

Read more
At homeBig reactions that pass quickly

Intense frustration or upset that resolves faster than anyone expects.

With friends

Waiting for a turn is hard

Read more
With friendsWaiting for a turn is hard

Interrupting games, changing rules, or dominating play without meaning to.

With friends

Friendships that fray

Read more
With friendsFriendships that fray

Easy to make, harder to keep, and the child often cannot explain what went wrong.

With friends

Misses the social cue

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With friendsMisses the social cue

Reads the room a beat late, then over-corrects.

Easily missed

The quiet daydreamer

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Easily missedThe quiet daydreamer

No disruption at all — just somewhere else. Inattentive presentation is the one that gets overlooked, particularly in girls.

Easily missed

Anxious, tired, or “lazy”

Read more
Easily missedAnxious, tired, or “lazy”

Effort that goes unseen often gets relabelled. Many adults were called one of these three as children.

Easily missed

Holds it together at school, falls apart at home

Read more
Easily missedHolds it together at school, falls apart at home

A child who masks all day may release it the moment they are somewhere safe.

The criteria require difficulties in more than one setting — which is why we ask for school reports and a teacher's observations alongside what you see at home.

Assessment is a conversation, not a questionnaire.Built across appointments, with school information and the everyday detail that shows the pattern over time.

Built across appointments,not filled in on a form.

There is no blood test and no scan for ADHD. It is diagnosed by building a picture over time: how the difficulties show up now, how far back they go, whether they appear in more than one setting, and what else could explain them.

What to bringSchool reports if you or a parent still have them — the comments matter more than the grades. Any previous assessment or report. A list of your current medicines. Specific examples rather than general descriptions. And, if you would like them there, someone who has known you a long time.
What happens in the first appointment?

A long conversation. How things are now, what school was like, what you have already tried, and what it is costing you. There is no test to pass and nothing to prepare beyond the things listed above.

What else gets considered?

Sleep and sleep apnoea, thyroid, iron, anxiety, depression, chronic pain, alcohol and other drugs, and the effects of shift work. Several of these are common around here and several are treatable in their own right.

Will I definitely get a diagnosis?

No, and that is the point of assessing rather than assuming. An assessment can conclude that the criteria are met, that they are not, that something else explains the difficulties, or that a specialist opinion is needed. All four are real results.

1Book a long appointmentTell reception it is about ADHD so enough time is set aside. Nothing to prepare beyond your questions.Standard consult
2The first appointmentA long conversation about how things are now, what school was like, and what it is costing you. No test to pass.Allow extra time
3Gathering the pictureQuestionnaires, school reports, previous letters, or input from someone who knows you well. We tell you exactly what to bring.Between visits
4Coming back togetherWe go through what the information shows, what fits, what does not, and what happens next — whatever the answer is.Follow-up
Who does the assessmentDr Zahraa HusseinGeneral Practitioner · ADHD assessment

Assessments here are carried out by your own GP, in the practice you already attend, with your history already on file. That continuity is the difference between an assessment that ends with a letter and one that ends with a plan.

Privately billed,and quoted before you start.

Why is it not bulk billed?

Because it is a substantially longer process than a standard consultation — multiple long appointments, questionnaires, information gathered from elsewhere and correspondence — and the Medicare rebates for general practice do not cover that time.

Is there any Medicare rebate?

A rebate may apply to part of it depending on what is billed. Reception will explain what applies before you begin.

What if I cannot afford it?

Say so. There may be a public referral pathway that suits your situation better, and it is a reasonable thing to ask about without embarrassment.

No surprises about cost.

Standard GP consultations here are bulk billed for everyone with a valid Medicare card. ADHD assessment is the one exception — it takes several long appointments, so it is privately billed. We would rather you knew that now than found out later.

Ring reception and ask for the fee before you book. They will tell you plainly.
Ask what it covers and roughly how many appointments yours is likely to need.
A Medicare rebate may apply to part of it.
If the cost is a barrier, say so — there may be a public pathway that suits you better.
Appointments after the assessment go back to being bulk billed as usual.
Ask us anything about cost

No obligation, and no need to book first. Reception can talk you through the fee, what is included and how the appointments usually run.

ADHD assessment for adults

ADHD assessment for children

Inattentive, hyperactive and combined presentations

Other causes considered first

A structured, multi-appointment process

With Dr Zahraa Hussein

Privately billed — fee quoted before you begin

Referral where a specialist opinion is needed

ADHD assessment for adults

ADHD assessment for children

Inattentive, hyperactive and combined presentations

Other causes considered first

A structured, multi-appointment process

With Dr Zahraa Hussein

Privately billed — fee quoted before you begin

Referral where a specialist opinion is needed

ADHD assessment for adults

ADHD assessment for children

Inattentive, hyperactive and combined presentations

Other causes considered first

A structured, multi-appointment process

With Dr Zahraa Hussein

Privately billed — fee quoted before you begin

Referral where a specialist opinion is needed

ADHDquestions, answered.

How do I know if I should be assessed?

If the pattern has been there since childhood, shows up in more than one part of your life, and is genuinely costing you something — at work, at school, with money, or in relationships — it is worth asking. A standard appointment is a fine place to start that conversation.

Who does ADHD assessment here?

Dr Zahraa Hussein. She is a general practitioner, not a specialist psychiatrist or paediatrician. Ask for her when you book and say what the appointment is about so enough time is allowed.

Is it bulk billed?

No. ADHD assessment is privately billed. Standard GP consultations at this practice remain bulk billed with a valid Medicare card.

Do you assess adults as well as children?

Yes, both. What we gather differs — school reports and a teacher's observations carry particular weight for children.

Can I get a prescription at the first appointment?

No. Assessment comes first, and it takes more than one appointment. Anyone offering a diagnosis and a prescription in a single short visit is moving faster than the evidence allows.

What if the assessment says it is not ADHD?

Then it should say what is going on instead, or what to look at next. That is a genuine and useful outcome, and often the more helpful one.

Will this be on my record?

Your assessment and any diagnosis form part of your confidential medical record, like anything else. Reports go to you and to anyone you ask us to send them to, and to nobody else.

How long does the whole process take?

It varies. Expect a long first appointment and at least one follow-up, with information gathered in between. Assessments that need sleep, mood or another condition sorted out first take longer.

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.

Relatedservices.

No surprises

Know the costbefore you come in.

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

Prefer to meet us first? Meet the doctors →

Antenatal and postnatal care,through pregnancy and after.

Shared antenatal care means most of your pregnancy appointments happen here in Muswellbrook, with the hospital seeing you at the key points. After the birth, both of you get looked after — not just the baby.

What to know
Book the right lengthTell reception what it is about so enough time is set aside.
No referral neededThis is general practice care — you can book directly with us.
Ask for who you preferMale and female GPs are available. Say who you would like when you book.
One practiceYour history in one place, so nothing has to be explained twice
Longer if you need itAsk reception for a long appointment when there is more than one thing
Bulk billedStandard consultations, for everyone with a valid Medicare card

Most appointments here,the key ones at hospital.

Shared care means your GP does the routine antenatal visits locally and the hospital or midwifery team handles the scans, the specialist reviews and the birth. For families in Muswellbrook and the Upper Hunter that means far less driving during a pregnancy that already involves plenty of it.

Afterwards, the six-week check covers both of you: how you are healing, how feeding is going, contraception, mood, and the baby's growth, hips, eyes, hearing and first immunisations.

When should I book my first appointment?

As soon as you know. Early appointments cover dating, blood tests, folate and iodine, and referral into the maternity service.

Where will I give birth?

Most local families birth at a Hunter New England hospital. We will discuss the options and refer you into the service early.

Do I still see a midwife?

Yes. Shared care is exactly that — shared. You will have appointments with the maternity service as well as here.

First trimester

Confirm and date

Read more
First trimesterConfirm and date

Blood tests, dating, folate and iodine, and referral into maternity care.

First trimester

Screening choices

Read more
First trimesterScreening choices

Early screening options are explained so you can decide what you want.

Second trimester

Routine checks

Read more
Second trimesterRoutine checks

Blood pressure, growth, urine, and how you are actually feeling.

Second trimester

Whooping cough vaccine

Read more
Second trimesterWhooping cough vaccine

Recommended in every pregnancy, usually between 20 and 32 weeks.

Third trimester

More frequent visits

Read more
Third trimesterMore frequent visits

Growth, position, blood pressure and planning for the birth.

After the birth

The six-week check

Read more
After the birthThe six-week check

For both of you — healing, feeding, mood, contraception and the baby's development.

Some thingscannot wait.

Get checked the same dayReduced or changed baby movements · vaginal bleeding · severe or persistent headache with visual changes · sudden swelling of face or hands · severe abdominal pain · fluid loss · fever · thoughts of harming yourself or your baby. Ring the maternity unit or call 000. For thoughts of harming yourself or your baby you can also ring Lifeline on 13 11 14 or PANDA on 1300 726 306, any hour. After the birth, heavy bleeding, a fever, a hot painful breast with flu-like symptoms, or calf pain and swelling all need same-day assessment.

Pregnancy comes with a long list of normal discomforts and a short list of things that need attention the same day. Knowing which is which means fewer sleepless nights and faster help when it matters.

Is reduced movement serious?

Any change in your baby's usual pattern of movement should be checked the same day, not the next morning. Ring the maternity unit.

What about swelling?

Mild swelling of feet and ankles is common. Sudden swelling of the face or hands, with headache or visual changes, needs assessment urgently.

Is feeling low after birth normal?

A few unsettled days is very common. Persistent low mood, anxiety or intrusive thoughts beyond two weeks is not something to push through — it is treatable, and asking early makes it easier.

Movement

Any change in the pattern

Read more
MovementAny change in the pattern

Not just fewer kicks — different is enough. Same-day assessment, every time.

Bleeding

Any vaginal bleeding

Read more
BleedingAny vaginal bleeding

At any stage of pregnancy, this needs to be assessed rather than watched.

Blood pressure

Headache with visual changes

Read more
Blood pressureHeadache with visual changes

Especially with swelling of the face or hands. This can signal pre-eclampsia.

Pain

Severe or constant abdominal pain

Read more
PainSevere or constant abdominal pain

Different from the stretching and twinges that come and go.

Unwell

Fever, or burning when passing urine

Read more
UnwellFever, or burning when passing urine

Infections in pregnancy are treated promptly rather than waited out.

Bleeding

Bleeding that gets heavier

Read more
BleedingBleeding that gets heavier

Rather than gradually lighter. Passing large clots needs assessment.

Infection

Fever, or a wound that worsens

Read more
InfectionFever, or a wound that worsens

Caesarean or perineal wounds that become more painful, red or discharging.

Breasts

A hot, painful, red area with flu-like symptoms

Read more
BreastsA hot, painful, red area with flu-like symptoms

Mastitis is common, treatable, and worth seeing someone about quickly.

Legs

Calf pain, swelling or redness

Read more
LegsCalf pain, swelling or redness

Clots are more likely after birth. This is a same-day problem.

Feeding

Feeding that hurts, or a baby not gaining

Read more
FeedingFeeding that hurts, or a baby not gaining

Both are common and both usually fixable with the right support.

Mood

Low mood beyond two weeks

Read more
MoodLow mood beyond two weeks

The early unsettled days usually lift. Persistent low mood does not have to be endured.

Anxiety

Constant worry or checking

Read more
AnxietyConstant worry or checking

Frightening thoughts about harm coming to the baby are more common than people admit and respond well to help.

Bonding

Feeling numb or disconnected

Read more
BondingFeeling numb or disconnected

Not a character failing. It is a symptom, and it is treatable.

Sleep

Unable to sleep even when baby does

Read more
SleepUnable to sleep even when baby does

A useful early signal that something more than tiredness is going on.

Partners too

Low mood in the non-birthing parent

Read more
Partners tooLow mood in the non-birthing parent

Perinatal depression affects partners as well. It is worth raising.

This is a guide, not a diagnosis. If something feels wrong, ring — that is exactly what we are here for.

The six-week check is for two people.Yours matters as much as the baby's.

Booked early,spaced as you go.

Visits start roughly monthly and become more frequent towards the end.

Is it bulk billed?

Antenatal and postnatal appointments are bulk billed with a valid Medicare card.

Can I see a female GP?

Yes. Say who you would prefer when you book.

What about the baby's immunisations?

Given here, on the National Immunisation Program schedule, starting at six weeks.

1Book earlyAs soon as you know. First visit covers dating, bloods and referral.First trimester
2Routine visitsMonthly at first, then fortnightly, then weekly near the end.Through pregnancy
3The six-week checkFor you and the baby — healing, feeding, mood, contraception, development.6 weeks after
4Immunisations and reviewsOn the schedule from six weeks, with growth and development checks alongside.Ongoing

Shared antenatal care

Local appointments

Postnatal checks

Six-week check

Baby immunisations

Breastfeeding support

Perinatal mental health

Bulk billed

Shared antenatal care

Local appointments

Postnatal checks

Six-week check

Baby immunisations

Breastfeeding support

Perinatal mental health

Bulk billed

Shared antenatal care

Local appointments

Postnatal checks

Six-week check

Baby immunisations

Breastfeeding support

Perinatal mental health

Bulk billed

Antenatal & postnatalquestions, answered.

What is shared antenatal care?

Your GP does the routine visits locally, and the hospital maternity team handles scans, specialist reviews and the birth.

When should I book my first appointment?

As soon as you know you are pregnant.

Is it bulk billed?

Yes, with a valid Medicare card.

Can I see a female doctor?

Yes. Say so when you book.

Do you do the whooping cough vaccine in pregnancy?

Yes. It is recommended in every pregnancy, usually between 20 and 32 weeks.

What happens at the six-week check?

Both of you are checked — your recovery, mood, feeding and contraception, and the baby's growth and development.

Can I get help with breastfeeding?

Yes. Feeding problems are common and usually solvable. Bring it up early rather than struggling on.

What if I am feeling low after the birth?

Please raise it. Perinatal depression and anxiety are common and treat well, and asking early makes it easier, not harder.

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.

Relatedservices.

No surprises

Know the costbefore you come in.

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

Prefer to meet us first? Meet the doctors →