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Gastroscopy or Colonoscopy Appointment Request
Do you have Medicare or a private health fund? (Tick all that apply)
What procedures would you like to book?
What is the reson to book in for the colonscopy? Required
What is the reason to book the gastroscopy? Required
Have you had a gastroscopy or colonoscopy before?
Where would you like to have the produre?
Do you have any of the following?
Have you had any major abdominal surgery
Do yo take any of the following medications?
Upload File
Upload supported file (Max 15MB)

Thank you! We will be in touch with you shortly to book you in for the procedure or consultation with Dr Haifer

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