Appointment request Your Details:Name* First Last Phone* Email* Your appointmentWhich Dr would you like your appointment with:First availableDr LalakDr RathoreWhere would you prefer to have your appointment?CampbelltownLiverpoolBella VistaGoulburnBowralPreferred Appointment timePlease indicate your preferred appointment time. Our administration staff will do their best to accomodate, and will confirm availability via your preferred communication method. Day: Monday Tuesday Wednesday Thursday Friday Time of day:Please select your preferred time slot 8:30am – 11am 11am – 2:30pm 2:30pm – 4pm Preferred method of communication: Phone call SMS Email I have a referral to attend SWSU: Yes No Additional commentsCAPTCHANameThis field is for validation purposes and should be left unchanged.
