Request an Appointment

A visit to southern kiwi is no substitute for medical attention (whether general, specialist or emergency).

Contact Details

Name

First Name

Last Name

Phone

Appointment Request

Preferred date and time

Please specify your preferred day and time within our opening hours of Monday-Friday between 9:30am-12:30pm and 4:30pm-7:30pm (excluding public holidays). We will do our best to accommodate your preferences and offer you a suitable appointment. IMPORTANT: Please note this form is to request a booking only. Once we have received your request, we will contact you to confirm your appointment date and time.

Appointment Information

Please describe the condition or ailment for which you are seeking treatment

e.g. Symptoms, area of body etc.