Patient Forms


New Patient Form

You can download the most recent new patient medical history form here.

It’s important for us to obtain your personal information and detailed medical history to provide you with the most optimal level of care. It allows our healthcare professionals to identify any issues or conditions prior to consultation.

It’s important the history form is filled out as accurately as possible. Your records are kept confidential and will not be disclosed to any third parties (subject to applicable laws).

Child Dental Benefit Schedule Form

If your child is eligible for Child Dental Benefits, you are welcome to print this form and bring it in with you to your child’s appointment.

The Child Dental Benefits Schedule (CDBS) is a Medicare program for eligible children or teenagers aged 2-17 years. It provides up to $1000 in dental benefits over two consecutive calendar years for dental services such as exams, x-rays, fillings, teeth cleaning, fissure seals, root canals and extractions.

Is your child eligible for CDBS?

Eligibility is assessed each calendar year. A child must be aged 2 to 17 years for at least a day of the calendar year, be eligible for Medicare, and receive Family Tax Benefit Part A or other Australian government payment.

You can check your child’s eligibility by calling 132 011 or have a look at the Medicare website for more information.

Address

18/221 Christine Avenue
(Christine Cnr)

Varsity Lakes QLD 4227

Phone

07 5535 8162

Opening Hours

Monday: 9:00am - 5:00pm Tuesday: 9:00am - 7:00pm Wednesday: 9:00am - 5:00pm Thursday: 9:00am - 7:00pm Friday: 9:00am - 2:00pm Saturdays: By Appointment Only