Student Clinic - Booking Request

NOTE – This is a booking request only. A text message will be sent to your mobile phone when booking has been confirmed. To ensure accuracy of client and booking information, we NO longer accept bookings by phone. 

*** Please make your appointment and provide your Groupon security code/ Scoopon barcode prior expiry date on your voucher ***

    Student Clinic Booking Request
    1. Your First Name

    2. Your Last Name

    3. Your Mobile Number

    4. Your Email

    5. Are you an existing customer?* YesNo

    6. Select your appointment time

    7. Select your appointment day TuesdayWednesdayThursday

    8. Select your appointment date (Tuesdays, Wednesdays and Thursdays only)

    9. Select your therapist preference type* MaleFemaleNo preference

    10. Select your voucher type* GrouponScooponMTI Student Clinic voucherNo voucher

    11. Enter your Groupon Security code (10 digits) or Scoopon Barcode (6 digits) to receive a confirmed booking*

    12. Comments or Questions

    * Required

    NOTE: This booking request is NOT a confirmed booking.

    CONTACT INFO:

    Postal Address:

    Level 3, 364 Lonsdale Street, Melbourne, VIC

    LOCATION ON MAP: