For appointments please contact us on (08) 8381 4113 or alternatively, please fill in the form below & we will contact you shortly. 
 
Please nominate a preferred day/time to help us find a suitable appointment for you.

New Patient Form

Consent For Dental Treatment & Our Services

  • I understand and consent to the dentist performing dental and oral surgery procedures that have been discussed and agreed to by me, and that i can stop and ask for clarification if i am unsure.
  • I understand that i can request further information on any and all treatment, including the risks associate with any anesthetic, or materiel used to perform treatment. 
  • I understand that x-rays and other diagnostic aids are an essential part of dental treatment and will be required.
  • I am responsible for payment for procedures performed and i am aware that on the day payment is required. 
  • I understand that failure to attend any scheduled appointments or not providing adequate notice (24 hours) will result in a cancellation fee.