For our Patient Registration Form
or scan this QR code:
Please complete this form at your earliest opportunity
and at least a week ahead of your rooms appointment
Do you wish to be placed on a cancellation list for a rooms appointment?
If so, please asap complete this form,
attach your referral and have any tests requested by your referring doctor;
this will allow us to contact you quickly for an earlier appointment, should one become available.
We generally have a 4-5 week wait for appointments
If you are seeing Dr Flanagan for the first time when you are in hospital,
kindly complete this form at your earliest convenience