Request a Booking

Fill in your details below and we'll confirm your appointment shortly.

1. Select Your Service

Minimum 2 hours. Additional time in 30-minute increments.

2. Date, Time & Duration

Preferred Date *

Preferred Start Time *

Duration *

3. Booking Frequency

4. Your Details

Full Name *

Mobile Number *

Email Address *

Street Address *

Suburb *

Postcode *

5. NDIS (Optional)

This is an NDIS booking enquiry

6. Additional Instructions

Your personal information is collected solely for the purpose of processing your booking enquiry. It will not be shared with third parties. By submitting this form you agree to our Privacy Policy.

Submitting this form does not confirm your booking. RPHS will contact you to confirm.

Prefer to book by phone? Call us during booking hours (9am–6pm):

Steph: 0411 156 061· Greg: 0490 931 290