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.

  CLICK HERE TO BOOKMARK THIS PAGE
Using Chrome or Safari? Press CTRL+D to bookmark this page, ⌘+D on a Mac.

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

Click to select file

Max file size 1 MB (1024 kb)

Sending ...

(03) 9416 3963   Enquiries

(03) 9416 1584   Bookings

31 Derby Street
COLLINGWOOD VIC 3066

FAX   (03) 9923 2742

© 2015-2019 Central Anaesthetic Group | Disclaimer | Website design: WebInjection