Video Consultation Request Form

Complete this Form to book a Video Call or to discuss a Survivorship Action Plan with me, Grace Gawler.

Women diagnosed with Cancer – I am delighted to be of assistance, however: you MUST be the patient to complete this form.

  • Due to the serious nature of cancer, it is not possible or ethical for me to provide ad-hoc advice or information.
  • Busy workloads prevent me from making calls to discuss your medical condition. I cannot answer one line inquiries.
  • You need to provide adequate information so that I can process your request for a video call.
  • Please be sure you have read the video call information Click Here

 

I look forward to meeting you on a Video Call soon.