Request a phone call from a Nurse Continence Specialist

Your Contact Details

First Name

Last Name

Please select your best contact number:

Mobile Phone

Landline

Age

Gender

Your Mailing Address

Street

City

Postcode

State

Country

Your Enquiry Details

Details of enquiry

Further details of your enquiry

Preferred date of call (Weekdays only)

IMPORTANT: Call backs cannot be scheduled for a weekend or a National Public Holiday.

Preferred time of call

IMPORTANT: All call times will be scheduled and made Monday to Friday 8am - 8pm (VIC time). This may vary by state due to time zone differences.

To ensure you don't miss our call, please add our continence helpline number +61 3 8692 8401 to your safe-callers list. Some mobile devices will otherwise flag this number as suspected spam.

Contact Information