Request an appointment.

Please complete the online form below to request an appointment with Parkville eye Specialists.

Please Note:
  • By completing this form you are requesting an appointment. Only use this form if you have already obtained a referral from your GP, paediatrician or optometrist. If successful your appointment will be confirmed by our reception staff within 7 days.
  • Medicare requires that you have a current referral to enable you to claim your rebate. Referrals from a specialist last 3 months whilst referrals from a GP or Optometrist last 12 months. It is your responsibility to always have a current referral to cover the date of the consultation.
  • We will attempt to accommodate urgent problems that require sooner attention.
Patient Name(Required)
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    Please provide information about the reason you've been referred to us so that our staff can assist you with your appointment (250 max characters).
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