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Please note that we cannot process emergency requests via this form, if you are experiencing a medical emergency please Phone 000

To book an appointment with Adelaide Cardiology or Genesis SleepCare, complete the booking request form below.

After you submit the online form below, our staff will contact you to confirm a day, location and time for your appointment and discuss any preparation required.

Please note that it is a Medicare requirement that a valid referral is provided for a specialist appointment.

Patient details
(*mandatory fields)

About You

Previous Treatment?

Your Referral

To assist us with your appointment, please upload your referral if you have it electronically (i.e. Photo or scanned copy).

Max file size 2MB. Allowed file types - pdf, doc, docx, jpg, png, tiff

Genesis Logo Small.pngGenesisCare is Australia’s leading provider of radiation oncology, cardiology and sleep treatments. We exist to fill the treatment gap for the biggest disease burdens in Australia - cancer and heart care - in an environment of substantial unmet demand from an ageing population. Click here to learn more