Request an Appointment on the Gold Coast

Appointment Scheduling Made Simple

Online Appointment Request

If you have received a referral from your Doctor to attend our practice for Cardiac Testing, you can request an appointment by completing the form below and one our friendly receptionists will get back to you promptly. Alternatively, you may call us to book your appointment on 07 55311833.

Cardiac Testing - Appointment Request

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Full Name:

DOB:

Address:

Phone No:

Alternative Phone No:

Email:

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Referring Doctor's Name:

GP's Name & Location (if different to your referring doctor):

Test Required:

Preferred Date:

Preferred Time:

Preferred Location (Not all tests are available at all locations):

Clinical Information (as stated on your referral):

Referral Upload:

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NOTE: To see one of our Cardiologists for Consultation, please contact us by phone.

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Appointment Scheduling Made Simple

Online Appointment Request

Cardiac Testing - Appointment Request

Contact Us

Book Your Test Today

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