Request an appointment

Page 1 of 3

Please Note: X-Ray’s do not require an appointment, these are available as a walk in service.

Your Information

Please fill in the information below.

Please let us know your name.

Please enter your date of Birth (dd/mm/yyyy)

Please let us know your email address.

Please enter a contact number.

Please let us know your name.

Service required

Please select the service required. from the list below.

If you select Obstetric Ultrasound (Pregnancy Scans) you will be given further options to select the type of scan you want to book.

Please select a service

Invalid Input

Location

Please select the location of the clinic you would prefer to visit.

You can also optionally select a second choice, and if your first choice isn't available we will attempt to book you at your second choice.

Please select a clinic

Invalid Input

Appointment Time

Please select the date and time you wish to have the appointment booked.

Please enter a valid date (dd/mm/yy)

Please select your preferred time.

Almost done

If you have any additional information you want to let us know you can add it here.

You can also attach a copy of your referral form here.

Please let us know your message.

You can attach a copy of your referral form here. (.PDF, .JPG, .BMP)

Go to Top