This online booking form is for use by surgeons and staff only to request attendance by a Central Anaesthetic Group Anaesthetist.

  URGENT BOOKINGS: Please phone our rooms on (03) 9416 3963.

All fields are required unless otherwise noted.

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Hospital
Surgeon
Anaesthetist Preference

You may select more than one. Leave blank if no preference.

Procedure Details

  Please attach any documents relevant to the patient

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(03) 9416 3963   Enquiries

(03) 9416 1584   Bookings

31 Derby Street
COLLINGWOOD VIC 3066

FAX   (03) 9923 2742

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