Dear Dr MacMillan,

The following appointment request has been made by #title# #name#.

Contact Email: #email#
Contact Phone: #phone#

PATIENT DETAILS

Full Name: #name#
Address: #address#
DOB: #dob#

PREFERENCES
Time: #time#

COMMENTS

#comments#

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User IP: #ip# | User Browser: #browser#

Dear #name#,

Thank you for making an appointment request with Dr Andrew MacMillan. One of his staff will be in contact with you shortly to confirm an appointment time.

For your records, a copy of the information you provided is below. If you wish to notify staff of any changes to your request, please phone his rooms -
Toowoomba: 07 4639 1798

Contact Email: #email#
Contact Phone: #phone#

PATIENT DETAILS

Name: #title# #name#
Address: #address#
DOB: #dob#

PREFERENCES
Time: #time#

COMMENTS

#comments#


Dr Andrew MacMillan - Oral Maxillofacial Surgeon
Toowoomba: 07 4639 1798