Indicates required field Appointment booking If you have concerns about your child's development, fill out this form and briefly outline your concerns in the comments box at the end of the form. We will refer your enquiry to a maternal and child health nurse who will be in touch with you as soon as possible. For general information, please refer to the MCH App or contact the MCH 24hr Helpline on 13 2229 If you have immediate concerns about your child’s health and wellbeing, please contact your GP or the Bendigo Hospital Emergency Department. Parent/caregiver full name Parent/caregiver contact number Email address Child's full name Child's date of birth Please select which Centre you would like to attend - Select -Club Court Maternal and Child Health Centre (Mon-Thu)Elmore Maternal and Child Health Centre (Every 2nd Tues)Epsom Maternal and Child Health Centre (Mon-Fri)Heathcote Maternal and Child Health Centre (Thu)Helen Jessen Maternal and Child Health Centre (Mon-Fri)Helm Street Maternal and Child Health Centre (Tues-Fri)Huntly Maternal and Child Health Centre (Wed-Fri)Lightning Reef Maternal and Child Health Centre (Mon-Fri)Marong Maternal and Child Health Centre (Thu)West Bendigo Maternal and Child Health Centre (Mon-Fri) Appointment you wish to book 4 month 8 month 12 month 18 month 2 year 3.5 year Additional If you need an additional appointment, the nurse will need to contact you to discuss it. Would you like the nurse to call you regarding an additional appointment? Yes No Next available appointment, happy to travel to any Centre Yes Please select preferred day and time Questions 9am - 12pm 1pm - 4.30pm Monday 9am - 12pm 1pm - 4.30pm Tuesday 9am - 12pm 1pm - 4.30pm Wednesday 9am - 12pm 1pm - 4.30pm Thursday 9am - 12pm 1pm - 4.30pm Friday 9am - 12pm 1pm - 4.30pm Comments or additional information Including name and date of birth of a sibling needing an appointment. Related information Maternal and child health service Access free and inclusive advice about your baby and childs development up to school age. Read more