Teledentistry

Booking Form

If you are a new patient, please download and complete our New Patient Form and return it to us by email at least 24 hours before your appointment.

Please read our Privacy Policy and Consent Form before digitally signing below*.

I have read and understood the information provided above. I agree to have records, including electronic versions of X-rays, photographs, charting of conditions and health and other history information, collected from me and shared and used as described in this consent form and Privacy Policy I have received. I acknowledge that no guarantee or assurance has been made by anyone regarding the treatment I have requested and authorised.

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Patient or patient’s parent/legal guardian must write their name and digitally sign below*.

Thank you for submitting your request.

A member of the team will be in touch.