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This form allows us to present your clinic space to the right professionals with accuracy and confidence. By capturing key details upfront, we position your room to attract aligned practitioners and generate consistent, reliable income.
Contact Details
Your First Name
*
Your Last Name
*
Your Email Address
*
Your Phone Number
*
Clinic Location
Clinic Address
*
Clinic Suburb
*
State/Territory
*
Please Select
NSW
QLD
VIC
SA
WA
ACT
NT
TAS
Postcode
*
Room Details
Type of Room
*
Please Select
Dental Chair
Medical Room
Allied Health
Other
If other, please describe
Number of Rooms Available
*
Please Select
1
2
3
4
5
5+
Fully Equipped
*
Yes
No
Key equipment, materials and/or staff included
*
Availability
Day(s) Available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours Available
*
Please Select
Full Day
Half Day
Hourly
Start Date
*
Pricing
Preferred Rental Type
*
Hourly
Daily
Weekly
Price (AUD)
*
Open to Negotiation?
*
Yes
No
Desired Period of Lease
*
Ideal Practitioner
Type of Professional (e.g. Dentist, Hygienist, GP, Physio, Cosmetic, Other)
*
Experience Level Preferred (optional)
Any Restrictions or Preferences
Clinic Room Overview
Short Description of Your Clinic
*
What Makes This Space Valuable?
Clinic Room Photo Upload
*
Drop your file here or click here to upload
You can upload up to 1 files.
Additional Notes
Terms & Conditions
*
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and
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