BOOK AN APPOINTMENT

TO BOOK AN APPOINTMENT

Appointments are available by calling our reception on (07) 3831 6888. Alternatively, you can email us at appointments@cityeye.com.au or complete the online form below. Our dedicated staff will be in touch with you to arrange an appointment or help with your enquiry.

If your referral is urgent, please call us on (07) 3831 6888. We will do our best to prioritize your appointment and have you seen as soon as possible.

Please complete the online form and we will be in touch.

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EYE CONTACTED? BEFORE?

HAVE YOU BEEN TREATED AT CITY EYE CENTRE BEFORE? *

• I AM A NEW PATIENT
• I AM AN EXISTING PATIENT

NAME *

First

Last

EMAIL *

HOME NUMBER

MOBILE NUMBER *

HOW CAN WE HELP YOU? *I WOULD LIKE TO REQUEST AN APPOINTMENTI WOULD LIKE TO MAKE A GENERAL ENQUIRY

DO YOU HAVE A CURRENT REFERRAL FROM A GP, OPTOMETRIST, OR OPHTHALMOLOGIST *

• Yes
• No

DETAILS ABOUT YOUR EYE CONDITION *

SPECIFIC APPOINTMENT REQUEST DETAILS

HOW WOULD YOU PREFER TO BE CONTACTED? *

• Email
• Phone

SEND APPOINTMENT REQUEST