Request an Appointment

Free telehealth appointments remain available for those who are not able to attend a practice. You can book here.

For URGENT eye concerns, do not use this form. Please call us directly or contact your nearest emergency eye department.

To book an appointment at one of our practices, simply fill out the short form below and we will get in touch to confirm your booking.

Preferred Location*
Practices Open from Mondays through Saturdays:
Broadway, Chullora, Kareela, Roselands, and Hillsdale Practice Open from Mondays through Sundays:
Bankstown
1st Choice Date*
1st Choice Time*
2nd Choice date will be same as 1st Choice date?
- Yes
- No
Practices Open from Mondays through Saturdays:
Broadway, Chullora, Kareela, Roselands, and Hillsdale Practice Open from Mondays through Sundays:
Bankstown
2nd Choice Date
2nd Choice Time

Full Name*
First Last
Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home/Mobile Number*
Are you the patient?
- Yes
- No
Patient's Name
First Last
Date of Birth (Patient)
Have you (or any family member) experienced any COVID symptoms now or over the past 14 days?*
- Yes
- No
Please specify which symptoms
Message to Practice
Preferred Contact Method
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