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

Click to select file

Max file size 1 MB (1024 kb)

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31 Derby Street
COLLINGWOOD VIC 3066

FAX   (03) 9923 2742

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