Do you need to cancel or change your appointment?

Please do not submit this form if your appointment is in less than 3 working days from now. Instead, call (03) 9076 2025 to cancel or change your appointment.

Patient details

Your MRN can be found on your appointment letter or reminder text message.
If different to the patient details above.
If different to the patient details above.

Current appointment details

This will be listed on your appointment letter or reminder text message.

Required change to my appointment

Please note, by cancelling your appointment you acknowledge that you will need to visit your GP to obtain a new referral in order to book another appointment with this clinic.

If you choose to change the date or time of your appointment there may be a wait for the next appointment to become available.