Book an Appointment

Please complete the form and we will be in touch directly. Note; a doctor/practitioner referral is required for all appointments.

First Name*

Last Name*

Email*

Mobile Number*

Preferred Contact Method*
EmaillCall to Mobile

Please select from the following
The appointment is for meThe appointment is for my childThe appointment is for a friend / relative

What service is required?
EEGGeneral Consult (Adult)General Consult (Paediatric)

Do you have a referral?
YesNo