New Patient Enquiry Form

Please complete this form if you are interested in becoming a patient at Ballina Health Centre 
1st Consultation - $600
2nd Consultation - $600
    Please view the services menu for further information and pricing on each of the consultation types we offer
    Please tick box to confirm you have read and understand this policy
  • Please be specific, if you were referred by a relative, friend or practitioner include their full name
phone (02) 6686 9199 | 32 tamar street, ballina