For appointments, please phone Claire - 08 9212 4212 or Marion - 08 9212 4211 between 9 am and 5 pm, Monday to Friday.

Alternatively, please email both   claire@perthortho.com.au  and  marion@perthortho.com.au

Please note that Dr Holt is a specialist, and thus a referral from another medical practitioner is required in order to get a rebate on your consultation from Medicare. Whilst not compulsory therefore, a referral for your appointment has some benefit and is preferred.

Dr Holt's main rooms are in West Perth. He also runs a Wednesday afternoon clinic in Duncraig.

West Perth Clinic

Perth Orthopaedic & Sports Medicine Centre
31 Outram Street
West Perth WA 6005

Duncraig Clinic

Sports Medicine Glengarry
1/64 Arnisdale Road
Duncraig WA 6023

To facilitate your appointment, you may download a Patient Registration Form to complete prior to attending.

To view or work with PDFs, you will need Adobe Reader (a free download).

The fillable PDF version allows electronic completion and direct return by email to keith.holt@perthortho.com.au

The print PDF allows for completion after printing and return by fax to 08 9481 3792 or by scan and email to keith.holt@perthortho.com.au

Detailed instructions

Click on your preferred link above. This will then open that version in your browser. The ‘Print' version can just be printed for use but, to make the ‘Fillable’ version functional, you must then perform a 'save as’ a PDF or ‘export as’ a PDF (differing commands in different browsers). Once out of your browser and on the desktop, the form can be opened with Adobe Acrobat allowing input. Start at the top left and click on the correct field. You may then tab through the fields in order or just click on the ones you need to fill in. If you hover over a field, you will get the format required (for dates etc.). After completion of the form, you may want to save or print it for your records. Hovering over the circled fields of ‘Save As’ and ‘Print,’ at the top of the form, will create dialogues facilitating those actions. When ready to email this form back, click on the email link at the top of the form.

For appointments and enquiries, please phone Claire - 08 9212 4212 or Marion - 08 9212 4211.

If no answer, please use the general office number 08 9212 4200 and ask for Dr Holt’s office.

Perth Orthopaedic and Sports Medicine Centre
31 Outram Street
West Perth WA 6005
  www.perthortho.com.au

Sports Medicine Glengarry
1/64 Arnisdale Road
Duncraig WA 6023

Calling from overseas: +618 9212 4200
Fax: +618 9481 3792

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