MCS Bookings

Change an existing or request a new appointment

Request a new or review appointment booking

Select the specialist for whom you wish to request an appointment.

Note that this is a specialist clinic for patients with cognitive problems, not general neurological problems. Referrals for general neurological problems should be made with other specialists through your general practitioner.

Please note also that all identifying personal information is encrypted in our database.

Booking details:

Specialist:

Select the appointment type of your request.

Appointment type:

Select the details of your request below, and then click the submit button for verification of your request to this specialist.

Patient Details

Prefix:

First name*:

Last name*:

Date of birth*:

Medicare*:

Note format: 1234-12345-1(1) - last digit is reference number

Expiry*:

Note format MM-YYYY eg. 11-2028

Health Fund:

Health Fund ID:

Gender*:

Handedness*:

Address 1*:

Address 2:

Suburb*:

State*:

Postcode*:

Phone*:

One phone number is required (mobile preferred)

Mobile:

Leave blank if phone filled in above

Please ensure at least one of the emails is valid since without an email, we will not be able to send a confirmation to you to complete your booking.

Email*:

Preferred contact (if different)

First name:

Last name:

Phone:

Email:

Reason for referral (to ensure our services are appropriate):

Describe:

After this date (or leave on current date for next available appointment):

From date:

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Type characters:

Thank you. Please click button below to request an appointment.

Change or cancel an appointment booking

If you wish to Cancel or Change an existing booking, please have the details of the booking ready, and then CLICK HERE.

Upload referral documents for your appointment

If you wish to Upload a referral letter or other documents relevant to your appointment, please CLICK HERE.