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New Patient Appointment Form


For New Referrals & New Patients
– Paediatricians & Paediatric Specialists

NOTE: Unfortunately, several of our Paediatricians and Paediatric Specialists are currently heavily booked and having limited capacity to accept new patients.

To ensure the best and most appropriate care of your child, all of our paediatricians are triaging the GP referrals prior to booking an appointment.

Please note, not all referrals we are receiving can schedule an appointment due to the limited capacity of the Doctor’s waiting time, which varies from 6 months to a year.

We will be in contact with you as soon as the Doctor provides us with more information about your request. This process might take 5 – 10 business days.

1. Do You Have a Referral Letter?

You must have a copy of your child’s referral letter BEFORE you can request an appointment with one of our specialists.

Please note: GP referrals are valid for one year in most of the cases.

2. Scan Your Referral Letter

Use your smartphone’s camera and capture an image or PDF copy of your referral letter. Please send documents as one file only.

3. Enter Your Child’s Details & Select Specialist’s Name

Complete all required fields in the form below. Select the individual Specialist’s name (i.e. Medical Doctor) if known.

4. Upload Your Referral Documents and Submit Form

Attach the file(s) showing the copy of the full referral letter for your child, and then submit the form. Your new referral and request for an appointment will then be reviewed by staff.

(FREQUENTLY ASKED QUESTIONS: You will find many answers to common questions about our clinic. Please take your time to review some of the questions in our FAQs page)


New Referral to see a Paediatrician or Paediatric Specialist

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Please fill out the following New Patient First Appointment Request e-Form and then click the submit button.

(Please fill out all the fields) (Form: newpatientreferral)

Child's (Patient) Details

Date of Birth

Parent Details


This is the written patient referral or letter you received from your GP or Medical Professional addressed to one of our Paediatricians or Paediatric Specialists.

Do you have a copy of the patient referral you received from your child's GP or Medical Specialist?

Yes, No