New Patients- Request an Appointment

 

Before confirming that you wish to request an appointment, you should read the information about New Patient Referrals, referral requirements, the intake process and likely outcomes.


The following form allows us to start a file for your child’s referral and intake process.

When you complete this form, you will confirm your understanding of key aspects of the referral and request process, requirements and possible outcomes. You will also provide your email and confirm your contact details and your wish to have your child’s referral considered.

Please complete and submit this form if you wish to confirm that you wish to request an appointment with

  • An associated Paediatrician with open books or

  • An associated subspecialist (e.g., neonatologist, neurologist, endocrinologist).


 

New Patient Appointment Request Form: