About Us


Dr Armi Aganan

Dr Armi Aganan finished her Emergency Medicine training in the Philippines before going onto work in Singapore for 2 years. She finally settled in Australia where she finished her ACRRM (Australian College of Rural and Remote Medicine) fellowship.

Armi has extensive knowledge in working as a Designated Aviation Medical Examiner (DAME). Whilst she enjoys doing Children and Womens Health, she has a new found interest in Aesthetic and Nutritional Medicine, doing facial enhancement, skin care ( including skin check and simple skin cancer treatments) and IV nutrition, treating patients in a hoilistic manner.

Armi is also passionate about medical missions and in giving back She is an active member of the Philippine Australian Medical Association (PAMA) and joins medical missions in the indigent areas of the Philippines every year.

Armi loves supporting local businesses around the area and getting out in nature and music in her spare time.

Areas on interest:

  • General Family Medicine (including Children and Women)
  • Aviatoin Medicine
  • Aesthetic and Nutritional Medicine

Dr Tracy Markham

Dr Tracy Markham grew up in Limerick Ireland and has been living in Australia for 18 years. Dr Markham has completed both her Irish and Australian GP examinations, has her advanced certificate in skin cancer medicine and has experience worked as a GP on three continents. Dr Markham joined the team at Tenambit Medical Centre in 2011 and became Practice Principal in November 2021. Dr Markham’s priority is her patients and caring for their families. Dr Markham is interested in all areas of GP and whole patient care is a priority.

Dr Adam Jackel

Adam studied medicine at the University of Newcastle and undertook his GP training around the Hunter Valley and Mid North Coast. For the past 10 years he has been working as a GP in Adamstown.

Adam enjoys all aspects of general practice, with a particular interest in the health of children and adolescents. Adam also has a strong interest in medical education, and has been involved with the teaching of medical students at Newcastle Uni over the past decade.

When not working Adam spends time working around his small hobby farm, and hanging out with his 3 beautiful sons Felix, Hugo and Zeke. .

Areas of Interests:

Children's health
Adolescent health
General Health and well being

Dr Jenny Lam - registrar

Allied Health

Lisa Sales - Psychologist

Lisa Sales – Psychologist Lisa has been a psychologist for over 20 years; working in both public and private practice in Maitland, Newcastle and the Hunter Region. She currently works with us 4 days per week. Lisa has worked with Hunter New England Health Service (Sexual Assault Service; Child and Family Health Team - Kaleidoscope; Hunter Institute of Mental Health), as well as NGOs and Private practice. Lisa is skilled and experienced in assessment, diagnosis, and treatment of a broad range of mental health disorders and other psychological problems, with both adults and children, including:

  • Depression and Bipolar Disorder
  • Obsessive Compulsive Disorder
  • Sexual Abuse
  • Perinatal/Postnatal Depression
  • Adjustment difficulties
  • Child Behaviour Problems
  • Stress Management & Relaxation Training
  • Anxiety and Panic Disorder
  • Trauma
  • Domestic Violence
  • Relationship Issues
  • Grief and Loss
  • Parenting

Professional Memberships and Associations

  • Member of the Australian Psychological Society.
  • Fully Registered with AHPRA and the Psychology Board of Australia.
  • Registered Provider Medicare.
  • Registered Provider WorkCover.

Appointments are made directly with Lisa herself on 0409 153 913

Sally Macklinshaw – Dietician – Bite into Life

Graduating from the University of Newcastle with a Bachelor of Nutrition and Dietetics, I’m a member of the Dietitian’s Association of Australia and a Level 1 Anthropometrist (ISAK). I’m passionate about the use of wholefoods and healthy lifestyles as a way to prevent chronic lifestyle disease such as heart disease and diabetes, two of the top causes of death and disability in Australia. I also love food! But like most, I’m too busy to be spending hours in the kitchen. My advice is based around real food that is quick to prepare and tastes great. Sally is an Accredited Practising Dietitian and Nutritionist who is passionate about helping you become the healthiest version of YOU!


Bite into life’s vision is to improve the health, wellbeing and happiness of individuals and communities and ultimately prevent chronic lifestyle disease by providing evidence-based nutrition education for sustainable lifestyle change and long term results.


Bite Into Life Nutrition provides evidence-based dietary advice and support aimed at helping you become the healthiest version of YOU. My goal is to provide clients with the skills and knowledge for achievable and sustainable lifestyle change. As dietitians, we strongly believe in the science of nutrition to aid in the prevention of illness and disease as well as having positive impacts on your mind, mood, energy, relationships and outlook on life. Bite Into Life Nutrition strives to become an innovative leader in nutrition education. Through personalized consultation and collaboration with community groups and like-minded health advocates, we aim to educate individuals and communities on the positive benefits of healthy lifestyles.


  1. I don’t believe in diets, fads or extreme food restrictions. I understand that health and weight loss information can be confusing and strict diets can leave you feeling defeated.
  2. I do believe in sensible dietary advice that is individualised to your needs and that of your family.
  3. I believe that nourishing your body on the inside and living an active lifestyle, translates to health on the outside. When you feel healthy, you feel better about yourself which can positively affect your life in so many ways; physically, mentally and socially.
  4. Healthy eating does not need to be time consuming or difficult.
  5. Finding balance is really important to a sustainable healthy lifestyle. So it’s ok to indulge from time to time.

Paul Causley - Psychologist

Paul Causley is an Adult and Adolescent Counsellor (Registered Psychologist since 2003). Therapy is available to assist with the following:
  • Anxiety and Depression
  • Grief and Loss
  • Anger Management
  • Alcohol and Other Drugs
  • Bullying and Harassment
  • Return to Work/Workers Compensation
  • Trauma
  • Adolescent issues
  • Relationship/Family Issues
  • Stress Management and Adjustment Issues
  • Paul has a particular interest in supporting current and former Military Personnel and members of the Emergency Services.  Paul is a practicing Christian and, if requested, is able to incorporate faith issues into the counselling process.   Treatment options include Medicare, NSW Worker's Compensation, DVA and Employee Assistance Program (EAP) Please ring Robyn Causley (Practice Manager) on 0406 362 449 for an appointment or if you have any questions. More detail is available on our website: www.causleypsychology.com.au


Christine - Nurse Manager, Diabetic educator

Aileen – Registered Nurse

Kellsie – Registered Nurse

Amber – Registered Nurse


Sarah McGregor – Practice Manager

Courtney – Senior Receptionist

Barbara H – Reception

Riannah - Reception

On site Pathology

Douglas Hanly Moir Pathology

Fridays 8:30am -1:30pm