Why parents-to-be avoid 29 February

Most Popular Posts

Obstetrics

By Admin March 03, 2016

Did you do everything you could to avoid having your baby on a particular date? Listen to Dr Brad Robinson talk to FM97.3 Robin, Terry and Bob about this one day every four years.

To speak directly with a team member please call 07 3188 5000

Request Booking Form
Please fill out the form below with appropriate details

Thanks for submitting our request booking form! We will get in touch with you shortly.

New Patient Form
Please fill out the form below with appropriate details

Do you have a private health care fund?

Do you have a consession card or pension?

Thanks for submitting our new patient form! We will get in touch with you shortly.

Patient Referral Form
Please fill out the form below with appropriate details

Specialist

Dr Brad Robinson

Thanks for submitting our new patient form! We will get in touch with you shortly.

First Name*
Last Name*
Contact Number
Email*
Date of Birth
Preferred Date*
Date Format: MM slash DD slash YYYY
Time*

: HH

MM
Preferred Doctor*
Reason for Appointment

Title
Sex
First Name
Middle Name
Last Name
Known As
Occupation
Date of Birth
Country of Birth
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone
Work Phone
Mobile Phone
Email Address
Medicare Number
Expiry Month
Expiry Year
Private Health Care Fund
- Do you have a private health care fund?
Private Fund
Membership Number
Consession Card or Pension
- Do you have a consession card or pension?
Referring Doctor
Referral Date
Date Format: MM slash DD slash YYYY
Referring Doctor Phone Number
Usual GP
Marital Status
Next of Kin Name
Next of Kin Phone Number
Partner Name
Partner Date of Birth
Partner Occupation

Name
Date of Birth
Home Phone
Mobile Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Referring Doctor Name
Referring Doctor Provider Number
Referring Doctor Email
Referring Doctor Phone
Date
Date Format: MM slash DD slash YYYY
Referring Doctor Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Tick Specialist of choice
Clinical Condition