Appointment Request

Online Booking Request

We aim to make the booking process as simple and efficient as possible. Our team is here to help guide you through the process and ensure the correct examination is arranged based on your referral.

The information below answers some common questions and provides helpful guidance to assist with your booking.

Please note that submitting a booking request does not automatically secure an appointment time. One of our booking team members will contact you to confirm availability and finalise your appointment.

If you’d prefer to speak with someone straight away, you’re always welcome to call our clinic and our team will be happy to assist.

First Name

Last Name

Date of Birth (DD/MM/YYYY)

Gender

Is your appointment related to a workplace injury?

Yes No

Service

Date - first preference (DD/MM/YYYY)

Time - first preference

Date - second preference (DD/MM/YYYY)

Time - second preference

Phone number

Email address

Copy of referral #1 (Scan or take a photo of your referral and upload it here)

Copy of referral #2 (Scan or take a photo of your referral and upload it here)

Other information

By submitting this request, I understand that if I have flu-like symptoms on the day of my appointment, I will be required to reschedule.