New Patient

New Patients can make an appointment request by contacting reception on (07) 3831 9322, or you can make a realtime booking after gaining access to the Patient Portal.

Please note that you do require a Doctor’s referral to make an appointment with Dr Renaut.

Please submit the New Patient form below. After we receive your details, we will create a Patient Portal account for you.

When the account is created you will receive an email message to the address provided, confirming your login credentials. Please use these credentials to login to the Patient Portal.

Once you have access to your Patient Portal account, please do the following:

Review to ensure your information is complete and up-to-date.
Make an appointment via the real time booking system.

Learn about Patient Portal

Note: All fields are mandatory.

First Name *

Surname *

Date of Birth *

Day

Month

Year

Gender *

Phone *

Mobile

Home

Home *

Mobile *

Email *