Companion Service Booking We provide trained volunteer companions to accompany people to and from essential appointments and services.Learn more about our Companion Service. Step 1 of 20%Your DetailsName*of person to use the service First Last Address* Address City Postcode Phone*Email* Date of Birth* DD MM YYYYContact PersonYour JourneyArriving at:*Please SelectSouthern Cross StationFlinders Street StationSeymour StationArrival Date*Please note: Monday to Friday only. 3 business days minimum notice. Arrival Date*Please note: Monday to Friday only. 3 business days minimum notice. Arrival TimePlease note: Must be between 8am and 6pm, Monday to Friday. : Hour Minute AMPM Meeting Point* Platform Travellers Aid Lounge Bus Terminal Taxi RankAdditional meeting details: I will be arriving with luggage I will be arriving in buggy (only available for arrivals at Southern Cross Station)Medical CentreName of Medical CentreAddress of Medical Centre Street number and name Phone number of Medical CentreAppointment Time : HH MM AMPM Approximate Appointment DurationPlease selectI'm not sure30 min1 hour1.5 hours2 hours3 hours4 hours5 hours6 hoursotherYour Appointment Duration I will be returning directly to the stationAdditional return trip detailsExtra InformationHow did you hear about this service?Preferred contact method*EmailPhoneSMS (We are happy to contact you by SMS, however we may request an alternative way to liaise with you if we have multiple questions)NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
