Online Patient Form Download

As a new patient we need to get to know you and your medical and dental history so that we can gain a comprehensive understanding of your current and past oral health to provide you with the highest quality treatment.

For this reason we will request that you complete a New Patient Form. This can be done in just a few minutes at our practice, prior to your appointment.

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 email or fax the completed form back to us or bring it to your appointment.


Fax: 04 472 9756

Please be assured that this information is used in accordance with State and Federal law. To find out more, you can read our Privacy Policy or please call us should you have any questions.