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Face to Face Consultation Request

Dr Jim Connell provides face to face consultations on

Wednesdays

Mi Vitality Wellness Hub

4/5 247 David Low Way, Peregian Beach, QLD 4573

The average wait time is around 3-4 weeks from the submission of your booking request. We will allocate a time slot based on your preference and feel free to contact our rooms (HEYDAY MEDICAL 07 3186 2113), if you need to discuss the appointment time.

Your request goes direct to our reception team. The reception team will book you the next available appointment and you will receive a sms n otification with appointment details within the next 24hrs.

Appointment Details

Appointment Type *

New / InitialReview / Ongoing

Please select your preferred QLD Clinic session time *

I will physcially attend for apointment at Mi Vitality Wellness Hub, 4/5 247 David Low Way, Peregian Beach, QLD 4573 *

Patient Details

First Name *

Middle Name

Last Name *

Date of Birth *

Email *

Home Phone

Mobile Phone *

Street Address *

Postcode *

City / Suburb *

State

Postal Address if different from above

Do you have any additional notes for your Heyday doctor?

Patient Acknowledgement

I declare the above information to be true and accurate

Patient/ Guardian Signature *

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Today's Date

Contact Information

For any enquiries please contact us on

Phone: 07 3186 2113

Email: reception@heydaymedical.com

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