Confidential Medical History

Confidential Medical History

  • We like to thank those who refer. If someone recommended us, please let us know so we can send them a coffee card and enter them in our monthly prize draw!
  • COVID-19 Risk Assessment

  • Medical Health Assessment

  • List and state doses for any prescribed medicines, tablets, ointments, injections, inhalers (inc. contraceptives and HRT) or recreational drugs you are taking that have not already been listed :
  • Confidential Oral Health Survey

  • Please tell us about your oral health. Tick any of the statements below that apply to you.
  • Please note that payment is required at the time of treatment. All cost in relation to collection of overdue accounts will be added to your account. Appointments not kept, failed, or cancelled without 48 hours’ notice may incur a charge.
  • Payment

    Payment is required at the end of each appointment - we gladly accept EFTPOS, Visa, MasterCard, and Q-Card. We can also process payments through Southern Cross Easy-Claim for those with dental cover.
  • Appointment Changes

    24 hours notice is required for appointment changes. Missed appointments or short notice cancelations may attract a fee.