Your Details

Full Name *

Contact Phone Number

Email *

Address

You are a:
New PatientExisting Patient

What is the reason for your enquiry?
New patient consultationToothacheWisdom tooth problemsJaw painSleep apnoeaMyobrace for a childMouthguardWhitening consultInvisalignOther

Where did you hear about us?
Referral - Family/FriendReferral - GPExisting PatientInternet SearchAdvertisement - Newspaper/MagazineAdvertisement - RadioSignageLetterbox FlyerSchool NewsletterPreschool VisitPrivate Health FundOther

To request an appointment, please complete your preferred dates and times.

Choice 1:

Time:
Date:

Choice 2:

Time:
Date:

Choice 3:

Time:
Date:

If you would like to ask any questions or provide information on your concerns please do so in the box below.

What is your preferred time to be contacted?
Any TimeMorningAfternoonEvening

 

Specialised dentistry services

Our vision of dental health extends beyond what you might find at your general dentist. We offer specialised services in areas relating to TMJ dysfunction, or TMJ disorder as it is also known. This is a jaw related symptom that can lead to bruxism (teeth grinding) and other sleep disorders such as sleep apnoea and snoring, and can cause persistent headaches and migraines.