Kindly fill the form below. If there is an emergency or need something urgently, call the clinic directly
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I authorize the release of any medical information necessary to process my insurance approvals and billing*
I acknowledge that i am financially responsible for payment whether or not covered by insurance*
If you need support and reassurance come along to our Baby Cafe mornings, whether you are a Mum to be, new Mum, bottle, breast or mix feeding join us in the garden of Cooper Health Clinic for expert advice.
Please contact our Front Desk at 04-3486344 for appointments or email email@example.com