For appointments and enquiries, please use the list of contact emails and phone numbers for a specific doctor below

Alternatively phone switch on 08 9212 4200.

This is a fillable PDF. We recommend downloading and saving the file before completing the fields. To sign the form electronically, you will need to download the free Adobe Reader DC. Complete the form then click the sign icon icon-sign-adobe in the toolbar.

Once the form is completed, you may email the completed form to the relevant secretary email listed below.

Alternatively, you may print the form to complete and return by fax (08) 9212 4264 or scan and email the completed form.

Perth Orthopaedic & Sports Medicine Centre

31 Outram Street
West Perth WA 6005

9.00am – 4.00pm Monday to Friday

FAX  +61 8 9212 4264

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