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Referring Doctors
Direct Access Endoscopy Form
Anorectal Physiology Assessment / Endoanal Ultrasound Referral Form
Pelvic Floor Physiotherapist Referral Form
Patients
General Information
Endoscopy Information
What To Expect After Day Surgery
HAL-RAR
VAAFT + OTSC Proctology Clip
Bowel Preparation Videos
Your Referral Doctor's Name:
*
Our administration team will contact you regarding your appointment arrangement within the next 24-48 hours. If you require an urgent appointment, please call our centre on 02 80843831
Comments/Questions:
Preferred Consulting Specialist
*
Dr Aileen Yen
Dr Pamela Howson
A/Prof Michael Suen
Dr Ramesh Paramsothy
Dr Sudarshan Paramsothy
Dr Titus Kwok
Dr Emily He
Dr Katherine Zhu
Dr Rebecca Lendzion
Unsure
Select Appointment Type
*
New Patient - Initial Consultation
Existing Patient - Review/Followup Consultation
Specialist Appointment Booking Form
A current Doctor's referral letter is required. If you do not have a valid referral, it will delay your appointment booking process. Do you have a valid referral?
*
Yes
No
Name:
*
Contact Phone Number
*
Specialist Required
Breast / Endocrine Surgeon
Colorectal Surgeon
Gastroenterologist
General Surgeon
Hepatopancreatobiliary and UGI Surgeon
Pelvic Floor Physiotherapist
Unsure
Email:
*
Digestive Pelvic Floor Centre
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