Mountain Landscape

THANK YOU

We have received your information. Please note supplying your payment details electronically is optional however payment is required at the time of consultation and a credit card will be billed for any outstanding fee. Verification of third parties agreement to fund services must be received prior to initial consultation.

Credit details: (for taking payment/cancellation fees if reception is unattended. Details will be stored in an encrypted form under our privacy policy.

 

Please either provide payment details below or at reception upon arriving to your appointment.

PAYMENT INFORMATION
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Suite 301, Emporio

3 Emporio Place
Maroochydore QLD 4558
P: 07 5370 8125 | F: 07 5636 1020

Suite 601, Pulse Oceanside Medical

11 Eccles Boulevard
Birtinya QLD 4575
P: 07 5370 8125 | F: 07 5636 1020