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UniSA Health Clinics – Appointment Booking Form

Please note that students are unable to see clients in relation to Medicare, Private Health and WorkCover Insurance claims.

If you are unable to complete this form please call the UniSA Health Clinics on 8302 0986. Messages can be left on Voicemail if a receptionist is unavailable.

* required field

* First Name

* Last Name

* Contact number

Contact email

* Suburb

* Date of Birth (DD/MM/YYYY)

Age

* Are you booking for (Please select one):

Yourself Your child

* Please provide a brief description of your reason for booking an appointment

* Which service did you want to book?

* Which clinic location do you prefer?

Your privacy is important to us. Information you supply will be handled strictly in accordance with our

Privacy Plan.

I have read and accept the conditions outlined in the Privacy Plan.

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UniSA overview

Community Clinics

UniSA Health Clinics – Appointment Booking Form

Your privacy is important to us. Information you supply will be handled strictly in accordance with our

Privacy Plan.

Sections

UniSA overview

Login

Community Clinics

UniSA Health Clinics – Appointment Booking Form

Your privacy is important to us. Information you supply will be handled strictly in accordance with our

Privacy Plan.