Request an Appointment

Please fill out the online form below or give us a call at (02) 4628 3377 to request an appointment with our specialist. We look forward to seeing you at Macarthur Surgical Centre.
Have you been to Macarthur Surgical Centre previously?
Patient Information
Name

PrefixFirst NameLast Name
Date of birth

DayMonthYear
Contact Number
Please enter a valid phone number.Format: 0000000000.
Address

Street Address

Street Address Line 2

SuburbState

Postcode
Email
Referring Doctor Information
Dr

First NameLast Name
Clinic or practice name
Postcode
Have you received a referral letter from your dentist or medical professional?
Please upload a screenshot of your referral letter

Cancelof
Reason for Your Visit
Were you referred to any specific specialist?
Select the option that best describes your reason for visit

Other
Have you had any CBCT or OPG x-ray taken in the past year?
If it is possible, please take a picture of the area of concern with your mobile phone camera to be used as a reference prior to your appointment.
Where did you have it done?

Other
It is paramount to have a CBCT or OPG x-ray for diagnosis purposes during your consultation. Do you need help providing a radiography record or clinical photo prior to your appointment?
Appointment Time Preferences

We will try to accommodate your preferences, though the appointment is subject to our specialists' availability.
Select your preferred days
Select your preferred timing

Please fill out the online form below or give us a call at (02) 4628 3377 to request an appointment with our specialist. We look forward to seeing you at Macarthur Surgical Centre.