Enquire now May 23, 2018 Title Mr Mrs Ms Dr Other First name Surname Phone/Mobile Email Address Have you been to Northern Beaches Cataract | Retina | Glaucoma before? Yes No Preferred appointment time: 9am - Noon 1pm - 4pm Do you have a referral? Yes No If so, which doctor have you been referred to? Dr Andrew Kaines Dr Matt Ball Dr Claire Hooper Dr Jason Cheng Dr Peter Heydon Dr Matthew Spargo Dr Kwon Kang Dr Mark Gorbatov A/Prof Raf Ghabral No particular doctor Do you require a cataract surgery assessment? Yes No Do you require a glaucoma assessment? Yes No I request further information on cataract surgery costs Yes No Do you have private health insurance (hospital cover)? Yes No Do you require any information about finance for surgery? Yes No Message
