Add: 24c Macquarie St Belmont, NSW 2280 | P: (02) 4945 8999 | F: (02) 4945 8972 | E: click here
Add: 93 Maitland Rd Mayfield, NSW 2304 | P: (02) 4968 2303 | F: (02) 4967 2171 | E: click here

Your Medical and Dental History

As a new patient we need to get to know you and your medical and dental history so we can gain a comprehensive understanding of your current oral health as well as learn about previous conditions to provide you with the highest quality treatment. Therefore, we will request that you complete a New Patient Form. You can fill in the form online or alternatively complete it in a few minutes at our practice, prior to your appointment.

For your convenience, your online form will be sent straight to our practice once you completed it. Alternatively, you can also download to form to complete it at a time that suits you. Then, simply fax the completed form back to us or bring it to your appointment.

Click here for our privacy policy.

Download from here.

Please fax any completed forms to Belmont (02) 494 589 927.

Mayfield (02) 4968 2303