Returning Patient - Appointment Request

If you are new to our online appointment facility and have yet to fill in the New Patient details please click here.

To book your annual mammogram, please complete your contact information on the form below and a representative will contact you within 1 working day to confirm your appointment.

Please contact your personal physician for a referral if you:

Are feeling unwell or have a health concern
Are under 40 and feel you need a mammogram
Require a Bone Densitometry appointment
Would like to schedule an Ultra Sound appointment

First Name *

Last Name *

Date of Birth *

Daytime Contact Number *

Email Address *

Please select a date and hourly time slot from the choices below and we will try to give you an appointment within that time period.

Preferred Appointment Date *

Preferred Appointment Time Slot *

If you have not heard from us within 2 working days, please call 236-1001 as we may not have received your details.

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Returning Patient - Appointment Request

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