Changing or cancelling an Outpatients appointment

Please fill out this form if you wish to change or cancel an Outpatients appointment at University Hospital Geelong Outpatients Department

OR If you wish to speak to a staff member about your Outpatients appointment, please call us during business hours on 4215 1396.


If you would like to share any ideas or suggestions about your Barwon Health experience, please click here

*All fields marked with an asterisk are mandatory.

Patient Information
Appointment Information

I understand that if I cancel my appointment, I will need a new referral from my GP to be seen in Outpatients.

Details of person completing request
Traditional Owners

We, Barwon Health, acknowledge the Traditional Owners of the land, the Wadawurrung people of the Kulin Nation. We pay our respects to the Elders both past and present.