Connect Hearing - Request an Appointment

Request an appointment

To request an appointment with one of our qualified clinicians, simply call 1300 656 858 or complete the form below and click submit. We will contact you to confirm your preferred appointment time/date. A minimum of 48 hours notice is required to cancel or change a confirmed appointment.

Title*

First name*

Surname*

Email*

Phone

Address

City/Suburb/Town*

State*

Postcode*

Please select your nearest centre

Date of birth

Are you a hearing aid wearer?*

Yes

Are you an existing Connect Hearing client?*

Yes

Preferred time

Preferred date

Additional comments

At Connect Hearing are fully committed to respecting your privacy. This information is being collected to arrange a suitable appointment time and location for you. See our privacy policy.