Arrange Telephone Consultation

Please complete the form below to arrange your telephone consultation. You will receive an email appointment confirmation in due course – remember to check your ‘Junk’ folder if necessary.

Please do not select today – nor tomorrow’s date if you are submitting this form after 2pm in the afternoon and to avoid disappointment we advise that only ONE weekend date be given

If this is not a consultation follow-up appointment that has already been paid for and a charge is due, you will also receive an invoice which should be paid prior to the consultation taking place.

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Name
Enter the date of your first choice above
First Choice Time (we recommend selecting more than one time option to increase your availability)
Enter the date of your second choice above
Second Choice Time (we recommend selecting more than one time option to increase your availability)
You may select more than one time option
Enter the date of your third choice above
Third Choice Time (we recommend selecting more than one time option to increase your availability)
You may select more than one time option
Enter the date of your fourth choice above
Fourth Choice Time (we recommend selecting more than one time option to increase your availability)
You may select more than one time option
Any additional information that might assist the doctor when calling you.