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MyGP Hub Clinic, Tamworth

New Patient Referral Waitlist

Appointment Request Form

New Patients - NorthStar Paediatrics

Child First name*

Child Last name*

Child Date of Birth*

Parent / Carer Full name*

Parent / Carer Phone*

Parent/ carer Email*

Appointment Request for *

Legal Guardian*

Yes, The child on the referral has a sibling who is a current patient at our clinic.

Yes, I have read the Referral Guide and Cancellation Policy.

PDF File ONLY*

NorthStar Paediatrics

ABN: 23703963476

5/82 Reid Promenade, Joondalup

WA 6027, Australia

hello@northstarpaediatrics.com.au

Tel: +61 8 6011 1764

EDI Link: northsta

© 2026 by NorthStar Paediatrics.

Clinic Hours: 9:00 am – 4:00 pm (Mon – Fri)

Telephone Hours: 8:00 am - 4:00 pm ( Thursday to Sunday)

Our Administrative team is available for non-medical inquiries during business hours.

Please Note:

We do not provide emergency services or consultation.

Our Paediatrician cannot address urgent, time-sensitive, or life-threatening situations.

For urgent situations, please seek immediate medical attention or call 000.

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