Request an Appointment This appointment request form is for non urgent appointments only. If you would like to see a doctor within the next 48 hours please call us on 02 9799 5000. Please note that appointment availability is subject to doctor’s schedules.Patient InformationName* First Last Email* Contact Number*Date of Birth Day Month Year Have you attended before? Yes No Appointment InformationPreferred Doctor Any doctor Dr Anita LoMascolo Dr Alice Chmielowska Dr Christopher Roberts Dr Dan Hubicki Dr Emily Ho Dr Eric Pugliese Dr Frances Chen Dr Paul Rusticia Dr Rajani Vimalaratnam Dr Rebekah George Dr Shahana Afroze Dr Susan Budic Dr Susha Sharma Preferred Day Next Available Choose from Calendar Choose Day DD slash MM slash YYYY The earliest you can choose is 2 days aheadPreferred Time Next available 8am-10am 10am-12noon 12noon – 2pm 2pm – 4pm 4pm – 6pm 6pm – 8pm 8pm – 10pm NameThis field is for validation purposes and should be left unchanged.
