New patient Form

Welcome to our Dental Practice... In the Interest of your Health and Safety, all Instruments (including handpieces) are sterilised byautoclave before use, for each and every patient.

Emergency Contact

If under 18 years of age

Medical History

Our financial policy: All accounts are to be paid on the day of the treatment.  You will be responsible for all collection fees incurred as a result of non- payment. To assist you we accept Cash, EFTPOS, Visa, MasterCard, Cheques and HICAPS.