Request an Appointment — Dr James Doherty

Please complete the form below and our reception team will be in touch to schedule your appointment. Alternatively, you can phone or email us directly.

Phone: 1300 656 136 · Email: office@drjamesdoherty.au

First name

Last name

Phone

Preferred location

Referral source

A referral from your specialist GP is required before any consultation for cosmetic surgery. For other consultations, a referral is needed to claim a Medicare rebate. If you don’t yet have a referral, our team can let you know what to ask your GP for.

Reason for consultation

Preferred contact time

Upload your referral (optional)

PDF, photo (JPG/PNG/HEIC) or Word document. Maximum 10 MB. You can also bring the original to your consultation.

By submitting this form you consent to be contacted by our reception team and to share the uploaded file with our practice. See our Privacy Policy for details. This form should not be used to report a medical emergency — in an emergency call 000.

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