Grey Street Centre consulting suites


 
​​Epworth Freemasons has embarked on its most significant redevelopment to create the premier medical precinct in East Melbourne, integrating existing facilities at Clarendon Street with new purpose built clinical, teaching and research space. An important component of this development will be five floors of integrated medical consulting suites.

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Following discussion with a member of the Epworth Freemasons team, medical specialists who seek to lease a consulting suite in the new Grey Street Centre development are to complete the form below.

Should you have any specific needs for IT related support, please also complete the IT service questionnaire (PDF 30KB) and return a scanned copy to:

 

Nicole Waldron
Executive Director, Epworth Freemasons and Epworth Richmond
e: Nicole.waldron@epworth.org.au

 

 

Completion of this form indicates your intention to lease your preferred suite.
  • Intention To Lease

    Title*

    Please select a value
    First Name*

    Please enter a value
    Last Name*

    Please enter a value
    Specialty*

    Please enter a value
    Email Address*

    Please enter a value
    Contact Number*

    Please enter a value
    Preferred suite - select up to 3, in order of preference (enter 1, 2 & 3)*
    Please select up to 3 choices

     Level 4, Suite 1     Level 4, Suite 2     Level 4, Suite 3     Level 4, Suite 4

     Level 5, Suite 1     Level 5, Suite 2     Level 5, Suite 3

     Level 6, Suite 1     Level 6, Suite 2     Level 6, Suite 3

     Level 7, Suite 1     Level 7, Suite 2     Level 7, Suite 3

     Level 8, Suite 1     Level 8, Suite 2

    My intention is to have my substantive practice at Epworth Freemasons*

    Please select a value
    Please indicate whether you are*
    Please select a value


            

            

    Please specify any practice support or ancillary services that you may require
    Preferred period of lease term*

    Please select a value
    Further option
    Are any departures or additions sought to proposed lease terms and conditions?*

    Please select a value
    If yes, please specify
    Please check the box below as acceptance of the terms and condictions specified within the Epworth Freemasons Grey Street Centre Consulting Suites Information Pack, pending any proposed departures or additions specified above.

    I/We agree to the Terms and Conditions outlined in the Epworth Freemasons Grey Street Centre Consulting Suites Information Pack, pending any proposed departures or additions specified above.
    Please tick the box before submitting form
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