Suite 106, Medici Centre, 15 Scott St, Toowoomba QLD 4350
07 4632 1201
You may also download the new patient form here.
In case of an emergency whom should we contact?
Please indicate if different to next of kin.
We remind our patients of their appointments. If you would like us to do this please indicate the preferred means of contact.
Have you had or are you suffering from any of these? (please tick)
I have accurately completed this pre-clinical questionnaire to the best of my knowledge.I hereby give my authority for any treatment agreed up on by me, to be carried out by the dentists and their staff and
I assume full financial responsibility for said treatment.
From $350! Read more
Haven’t visited us before? You may be eligible for our $195 New Patient Offer! Normally valued at $460, click here for more information.
Any surgical or invasive procedure carries risks. Before proceeding with a surgical or invasive procedure, you should seek a second opinion from an appropriately qualified health practitioner.