Please complete this form to request an appointment with a Maternal and Child Health (MCH) nurse at a centre near your home.

You can request an appointment with a nurse to check your child's health and growth at key stages listed below. Remember to bring your child’s green book to each visit.

Due to a shortage of nurses, high local birth rates along with the impact of COVID-19, we currently have limited appointments and need to prioritise our newborns and vulnerable infants.

Please allow five business days for the MCH team to review your form and get back to you.

For urgent concerns, please contact the Victorian Maternal and Child Health Line at 13 22 29.

Privacy Statement

Your personal information and that of the child is being collected by Council to enable book/change/cancel your MCH appointment.  Your/and the child’s personal information will be used and stored by Council to administer and schedule appointments and used to identify you when communicating with Council. For further information about how your personal information is handled, refer to Council’s Privacy Policy.

Who is the appointment for
Gender (required)
Contact info
Are you a new resident of Wyndham?
Relationship to child (required)
Are you the primary carer of the child? (required)
Primary Carer Detail
I am (required)
Mother's Details
Appointment Details
I am requesting a (required)
Key Age & Stage Visit (required)
Preferred Day (required)
Preferred Time (required)
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