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Changing or cancelling an outpatients appointment

For urgent enquiries, please call our switchboard (03) 4215 0000.

Please complete this form if you wish to change or cancel an outpatients appointment. If you wish to speak to a staff member about your appointment, please call us during business hours on 4215 1396.

*All fields marked with an asterisk are mandatory

Patient Information
Appointment Information

I understand that if I cancel my appointment, I will need a new referral from my GP to be seen in Outpatients.

Details of person completing request


Last Modified: Monday, 11 December 2023