Your Medical And Dental History
However, for your convenience, we have also made this form available online, so the answers will be sent straight to our practice. Alternatively, you can also download to form to complete at a time that suits you. Then, simply fax the completed form back to us or bring it to your appointment.
Please fax any completed forms to 08 9339 5022
Mon: 8:00 - 17:00
Tue: 9:00 - 17:00
Wed: 8:00 - 17:00
Thu: 8:00 - 17:00
Fri: 8:00 - 16:00
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Click here to complete our patient form before your first appointment.