Get in touchIf you want to make a booking, please use our booking form page. Name(Required) First name Last name Email address(Required) Please provide your email address Please confirm your email address. (Emails must match) Phone number(Required)State / Territory(Required)Please selectACTNSWNTQLDSATASVICWAOtherType of enquiry(Required)Please selectReschedule/Cancel an appointmentRequest for informationMake a donationDiscuss optionsFeedbackOtherOther location Request for information To request access to health records, please complete the Release of Information and Authorisation Form and email it to istp@mariestopes.org.au Please be aware that there is a processing fee. This fee is outlined in the form. The information will be sent to you via email, once payment has been received. There are some instances where the application fee will be waived, such as if you have a Healthcare card or a concession card. You will receive communications acknowledging your request and what the cost of processing will be. Once we have received your valid request, we will send your records within 28 days. If we require further information we will contact you to obtain more information. This could add to the waiting period. Date of Birth(Required) DD slash MM slash YYYY Address(Required) Street Address Address Line 2 City State/Territory Post code Comments or questions Subscribe Add me to your mailing listCheck this box to join our mailing list. Read our privacy policy for more info about how we handle your personal details. CAPTCH If you want to make a booking, please use our booking form page.
