This website contains imagery which is only suitable for audiences 18+. All surgery contains risks. Read more here.

This website contains imagery which is only suitable for audiences 18+. All surgery contains risks. Read more here.

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Returning Patient Details

Dr Rughani

Patient Registration Form For Returning Clients

To ensure our records are accurate & up to date, we kindly ask that you please complete this form if it has been 24 months or more since your last visit to our clinic.

Step 1 of 4

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DD slash MM slash YYYY

Contact us

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In the area? Visit our Hamilton Clinic:

151 Robertson Street, Fortitude Valley, QLD 4006

Or visit us at North Lakes (by appointment only):

Suite 507, 6 North Lakes Drive, North Lakes, QLD, 4509

Our hours

Monday – Thursday
8:30am – 4:30pm

Friday
8:30am – 4:00pm

Saturday – Sunday
Closed

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Contact us today!

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