MAKE AN ONLINE APPOINTMENT


To make an appointment to see one of our ophthalmologists, please complete the online form below and a consultant will get in touch with you to arrange your appointment.
Please note all fields with an asterisk (*) are mandatory. 

Personal details

*
*
Please give a brief description of your condition

Referral information

Yes
No
If selecting yes please email the referral letter to reception@qei.org.au
Yes
No
Yes
No
Please enter the specialist if known

Contact information

Email
Phone
*Security Check
Security Check
Enter the text in the image above.