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Dr Mike Millar
| PH 1 300 027 027
reception@sportssurgeon.com.au
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Hip Resurfacing
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First name
*
Last name
*
Birthday
*
Day
Month
Month
Year
Phone
*
Email
*
Please indicate the general location of your Injury
*
Hip
Knee
Shoulder & Elbow
Hand & Wrist
Ankle & Feet
Paediatrics Orthopaedics
Trauma Injury
Sports Medicine
Do you have a referral from your doctor or physiotherapist?
*
Yes
Not yet
Have you had any X-rays or other imaging of your injury
*
Yes
No
Preferred Consulting Room
Gilbert Collins Medical Practice
Haberfield
Mater Medical Suites Mackay
Please briefly describe your injury and any other information that you think may be relevant
*
Request Appointment
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