Request an Estimate

First Name *

Last Name *

Email Address *

Date of Birth *

Phone Number *

Anaesthetist *

Surgeon *

Name of Hospital

Date of Surgery (if known)

Procedure(s)

Health Fund *

Yes

Name of Health Fund*

Medicare Number (xxxx xxxxx x) *

Are you an overseas visitor? *

Yes

Pensioner *

Yes

Type of Pension*

Pensioner Card Details*

Preferred method of contact *

Phone

As medicare and fund item numbers for anaesthesia include a specific time item number, and times may vary even for the same procedure, it is only possible to give an estimate of the likely fee. This estimate may vary from the actual fee charged.