Request an Appointment

Use this form to request an appointment.

This is primarily suitable for holiday travel, or simple business trips. If you need a work-related medical assessment or clearance of any sort, please do not use this form, but contact corporate.medical@traveldoctor.com.au or call your nearest capital city clinic.

Your Details

Email *
First Name *
Last Name *
Date of Birth *
Phone Number *
How many people would you like to arrange an appointment for?
Does this include Children under 12?
Yes No
Destinations

Please include all destinations
Departure Date
Length of travel in days
Are you an existing client of The Travel Doctor?
Yes No
Reason for trip

Appointment Details

Please note: Presently not all Travel Doctor-TMVC clinics accept on-line booking requests. Clinics offering this service can be selected from the list below.

Preferred Travel Doctor Clinic
Your preferred appointment time, first choice *
Date
Time
Your preferred appointment time, second choice *
Date
Time
Your preferred appointment time, third choice *
Date
Time
Please enter any other information here

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