Get in Touch

Book an Appointment

A valid referral from your GP or specialist is required prior to scheduling a cardiology appointment. You may upload a copy of your referral below. Alternatively, your referring doctor may send the referral directly to the practice via fax (03) 9915 4855, or email reception@jfc.com.au.

Patient Details

First Name *

Middle Name (optional)

Surname *

Date of Birth *

Contact Number *

Email Address (optional)

Medicare Number (optional)

Appointment Details

Appointment Type *

Preferred Cardiologist (optional)

Reason for Referral / Query

Referral Upload

A valid referral is required prior to scheduling your appointment. You may upload a copy below, or email it to reception@jfc.com.au.

Upload Referral (JPG, PNG or PDF)

Referring Doctor Details

Referring Doctor's Name *

Provider Number *

Practice Name & Address *

Referring Doctor's Contact Number (optional)

* Required fields