Appointment Request

If you wish to make a clinic appointment or telehealth appointment with Dr Pinczower, you can fill in the form below. A friendly staff member will contact you to make an appointment time.

Please note: A valid doctor’s referral will be required to see Dr Pinczower.

This request is sent directly to the rooms of MPAC Specialists and a copy of your appointment request will also be sent to your email address. Forms are sent using standard email security protocols. If you have any concerns, please phone the practice directly.

Melbourne Paediatric and Allergy Centre

Parent / Guardian Details
Patient Details

Max 1000 characters

Click here to attach a file

If you have an electronic copy of your referral, you can attach it by clicking the area above


71 Kooyong Road
Caulfield North VIC 3161
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