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Appointment Request

Appointments to see Dr Lancashire can be made by calling (07) 3054 0694 or by submitting an Appointment Request form below.

Urgent appointments are available, and we always do our best to schedule appointments at a time that suits you.

All appointments require a referral from your General Practitioner or other Specialist.

Please note: items marked * indicate mandatory fields.

Personal details
Contact Details
Please enter phone number with area code included. No spaces please. eg. 0298765432
Please enter phone number with area code included. No spaces please. eg. 0298765432
Please enter mobile number. No spaces please. eg. 0412345678
Appointment Details