Request an Appointment Name * First Name Last Name Date of Birth MM DD YYYY Email * Contact Number * (###) ### #### What appointment type do you require? Obstetric Gynaecology Fertility Genetic Screening Message Is there anything else we should know? Thank you for your enquiry for an appointment at Ballarat Women’s Ultrasound. Once we have reviewed your referral we will contact you to schedule an appointment at an appropriate time. Please ensure you have included your best contact email and phone numbers. If the scan is urgent, please call our rooms during office hours.