Access Canberra Medical Booking Form - Aspen Corporate Health

Applicant details

First Name*

Last Name*

Position Title*

Date of Birth

Please upload your position description*

Max. file size: 200 MB.

Email Address*

Mobile Number*

Employment Status*

Preferred Clinic Locatioon*

Interstate*

1st Suitable Date*

2nd Suitable Date*

3rd Suitable Date*

Comments

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Available From:*

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Available To:*

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Availability for appointment:

The clinic will send you an email confirming your appointment time and location. Please pay attention to booking confirmation email. If you have any concerns please email Aspen Corporate Health Team at [email protected]. If you do not attend your appointment, or do not give adequate notice of cancellation [no less than 24 hours], a cancellation fee will be charged to the Department.

Please also bring a photo ID with you to the appointment, a driver license for example.