New Patient

If you are a new patient requesting an appointment, we will need you to complete a medical history questionnaire providing us with information that will help us to treat your individual needs.

  • Open the form and fill in the required fields then click SAVE. Once the file has been saved on you computer you can then open your email and upload the form as an attachment.

  • Or, you can  print the form and take it with you to your appointment. 

>> Click here to download <<
Medical History Questionnaire Form



Submit Medical Questionnaire Form

QUESTIONS (optional)
To ask us a question about your dental health, use the box below and we will contact you with the best possible advice available from our surgery.
Please enter the code in the image in the field below
Security Code
New and existing patients please click here to make an appointment online.
For a limited period, we are pleased to offer you an enticing discount on some of our wonderful treatments and services.
Practice Locations

Ulladulla 02 4455 1640

Double Bay 02 9327 6664 -

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