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Skin Cancer – Referral Form

For patients to access our state funded bulk billing integrated skin cancer service, please fill out the following online appointment request.

Once you have filled details please press Send Appointment request. This will generate an email request and we will contact your office or the patient directly to schedule an appointment within 24 hours.

For urgent appointments, please call our office on 95252340 to speak to one of our staff.

Skin Cancer Referral

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Patient Details

GP Contact Details