Use this form to request an appointment outside of normal clinic hours. Please enable JavaScript in your browser to complete this form. communications Please applicable Please select the applicable requested appointment type. *Request Out-of-Hours consult: for appointments earlier or later on a normal Tuesday, Wednesday, or Thursday clinic day - $180Request Special Booking consult: for appointments Friday - Monday when clinic is normally closed - Fri & Mon $200 - Weekend $230Request Holiday consult: for appointments during posted vacation times incl. public holidays - $290Requested time/date: *Please give the date/s and times requested. Please also be specific as "anytime" or "asap" is not a workable request.Your reason for seeking a special consultation: *I am limited by work or other obligations.Pain and debilitation. I want/need to come in as soon as I can.I am only available at a specific time.Your (client's) full name as known by the clinic: *(Please write your name as you're known to me - no nick-names please?)Your best contact number (to receive SMS (text) communications regarding this request: *If your request can be accommodated, offers are sent by text in the first instance, so please include and double check your mobile number.Submit
