Zebras Australia Priority Care List 2021
Please provide us with your details so that we can add you to our priority list ahead of our next availability.
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Is this your first experience with Zebras Australia? *
How did you hear about Zebras Australia? *
What is your name? *
What is your best contact number? *
What is your best contact email address? *
How would you prefer to be contacted? *
What is your availability for appointments? Are there any days or times you would prefer? *
We are able to offer both in person and telehealth appointments. Do you have a preference? *
Where are you located? *
We will collect your health history from you closer to your appointment. Do you have any suspected, provisional or confirmed diagnoses to share at this point? *
Is there anything specific you would like our help with? e.g. learning about your symptoms, developing an exercise routine, hands-on physiotherapy *
Do you intend to use an Enhanced Primary Care (EPC) plan and / or National Disability Insurance Scheme (NDIS) funding to cover the costs of your appointments with us? *
Is there anything else you would like us to know?
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