About
Contact
Booking FAQ
Trading Hours
Information for Referrers, Pharmacies and Industry
Contact Us
Please fill out the form below to get in touch with us.
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name (as per Medicare Card)
*
First
Last
Preferred name
Email
*
Mobile
*
Date of Birth – required if needing help to book
Post Code
*
Medicare Number or IHI – required if needing help to book
Position number on Medicare Card (IRN) – required if needing help to book
DVA Number – required if needing help to book
DVA Card Type
Non-DVA
White Card – List conditions below
Orange Card
Gold Card
DVA Conditions Covered
Select Message
I have a general query or comment
I need help booking
I have already booked a telehealth consultation and have yet to be called (please state time of booking in message)
I need to change an existing appointment (document below)
Comment or Message
*
Submit
