Request an appointment. Please complete the online form below to request an appointment with Parkville eye Specialists. CommentsThis field is for validation purposes and should be left unchanged.Please Note: By completing this form you are requesting an appointment. Only use this form if you have already obtained a referral from your GP, paediatrician or optometrist. If successful your appointment will be confirmed by our reception staff within 7 days. Medicare requires that you have a current referral to enable you to claim your rebate. Referrals from a specialist last 3 months whilst referrals from a GP or Optometrist last 12 months. It is your responsibility to always have a current referral to cover the date of the consultation. We will attempt to accommodate urgent problems that require sooner attention. Patient Name(Required) First Last Contact PhoneEmail(Required) Time(Required) Morning Afternoon Anytime Do you have a preferred eye specialist?Do you have a preferred eye specialist?AnyDr. Jonathan RuddleDr. Anu MathewDr Shivanand ShethDr William TaoDr. Kathy JaoPlease attach your referral and other relevant documents(Required) Drop files here or Select files Accepted file types: pdf, jpg, Max. file size: 7 MB. Eye ConditionPlease provide information about the reason you've been referred to us so that our staff can assist you with your appointment (250 max characters).CAPTCHA
