New Patient Form

 So that we can prepare for your visit and look after you to the best of our abilities, pleased complete our New Patient Form prior to your appointment. 

Our New Patient Form can be filled out on your computer in a few easy steps.

Once you have opened the link below,

1.      Click on ‘Create an Account’.

2.      Enter your details.

3.      Click on ‘Accept terms and Sign Up’

4.      Confirm your registration by clicking on ‘Send’ an SMS to your mobile.

5.      Enter the SMS code. You will be directed to your E-Forms.

6.      Fill in the New Patient Form and Submit!

The form is highly secure and all information is kept confidential.

You will receive an SMS to confirm your appointment in our appointment book 3 days prior to your appointment. Please respond to this SMS in order to ensure your appointment has been secured for you.

We are conveniently located next to Carnegie station, with plenty of parking on Rosstown road and Woolworths (Kokaribb Rd). We look forward to meeting you!

PLEASE LET US KNOW PRIOR TO YOUR APPOINTMENT IF YOU HAVE:

-travelled overseas in the past 14 days

-felt unwell, including but not limited to symptoms of COVID-19 such as fever, cough, sore throat or shortness of breath; or,

-had any contact with a confirmed or suspected case of COVID-19 in the past 14 days.

- Are waiting on a COVID test result.

*******NEW PATIENT FORM********

Click on link below

https://eforms.centaurportal.com/eForms/03410-0/user/fomrslist?sid=&user_param=6052d2637e657c74552f8c0b

If you are having difficulties completing the form online, please download the New Patient Form below and email the completed copy to dentalcarecarnegie@gmail.com prior to your appointment.

We will call you a few days before your appointment to confirm your details and that we have received your form.

We are conveniently located next to Carnegie station, with plenty of parking on Rosstown road. We look forward to meeting you.