P: (08) 9339 5047 | F: (08) 9339 5022
7A Silas St, East Fremantle WA 6158, Australia | 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 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. We use all patient information in compliance with State and Federal law. To view our privacy policy in full, please click here

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

Please fax any completed forms to 08 9339 5022

Click here to download the PDF version.

Free onsite parking.

Opening Hours

Mon & Wed: 8am - 8pm
Tues & Thurs: 8am - 5pm
Fri: 8am - 4pm
Sat & Sun: CLOSED

Our Location

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find us on
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Patient Forms

Click here to complete our patient form before your first appointment.