Maternal and Child Health appointment request

Use this form to request, change or cancel an appointment for key age and stage checks for your child.  

Please note: this is a request form only.  Staff will be in contact with you regarding your request.



Fields marked with * are required

Your child's details




RadDatePicker
RadDatePicker
Open the calendar popup.








If the appointment required is outside Key Age & Stage appointments above, please contact Maternal and Child Health administration between 8:00am and 5:00pm Monday to Friday on 03 5272 4741.
Appointment details




Your details