Dr Hall Wait-List

*Please note — this waitlist is only for new patients wishing to see Dr Timothy Hall for an initial consultation.
IV Nutrient Infusion bookings are not affected; to arrange an infusion, please call 08 8379 1124 or use the IV Request Appointment Form.

 

    Patient Details

    (Must belong to the above named unless the patient is a dependent)

    If different from above

    Address *

    Parent / Guardian/ Carer Details

    Please complete if the patient is unable to make their own appointments

    Medical Concerns

    Please complete in the space below a brief description only of what medical condition you are seeking Integrative Medicine for