Patient Information

Please fill out the below appointment request and one of our team members will get in contact with you to confirm your appointment time as soon as possible.

Please note that making an appointment through this form does not give you an official appointment until you have been contacted by a member of our booking team to confirm your appointment time and location. Some procedures are not available at all locations.

Next day bookings cannot be made through the online form. If you wish to book a next day appointment, please contact us on (03) 9468 8700.

Your privacy is important to us. All of your personal information is kept securely and is only used for booking & appointment purposes. Our privacy policy can be found Here.

 

Patient Details

EmailPhoneEither

Booking Preferences

Booking First Preference

Booking Second Preference

XRayMRIUltrasoundCTOPGMammogramDEXAOther (specify in comments)I am not sure