To book an appointment online, please complete the form below.

Please note this is not a confirmed time . We will contact you within the next 3 to 4 days to confirm your selection or offer you alternate times.

If you have any questions, please call on 02 9894 9333.

If you are a new patient requesting an appointment, we will need you to complete a medical history questionnaire providing us with information that will help us to treat your individual needs. This can be done at our practice before your appointment or click here to print out our questionnaire to complete at your leisure before your appointment.

General Details * Required fields are marked with an asterisk First Name: * Surname: * Phone number: * Mobile number: * Email: * Best method of contact * Please select Phone Number Mobile Number Email What is the purpose of your enquiry? * Please select Examination Smile Makeover Consultation/Second Opinion Relief of pain Preferred Doctor: * Please select Dr Sam Guirguis Dr Fred Calavassy Appointment Selection - Select three alternative days and / or times A member of staff will confirm the appointment time with you Day / Date (appnt only) Please Select ------------ Monday Tuesday Wednesday Thursday Friday Saturday Time (appnt only) 8:00am 9:00am 10:00am 11:00am 12:00pm 1:00pm 2:00pm 3:00pm 4:00pm 5:00pm 6:00pm Day / Date (appnt only) Please Select ------------ Monday Tuesday Wednesday Thursday Friday Saturday Time (appnt only) 8:00am 9:00am 10:00am 11:00am 12:00pm 1:00pm 2:00pm 3:00pm 4:00pm 5:00pm 6:00pm Day / Date (appnt only) Please Select ------------ Monday Tuesday Wednesday Thursday Friday Saturday Time (appnt only) 8:00am 9:00am 10:00am 11:00am 12:00pm 1:00pm 2:00pm 3:00pm 4:00pm 5:00pm 6:00pm Comments and Questions Security   Confirmation code: * To ensure security of all using this form, please enter the confirmation code.