- Serving our community
for over 18 years
New Patient Form
Home > New Patient Form
We are looking forward to meeting you!
We want you to have the best outcome at your upcoming appointment. To help us prepare for your visit, please follow the instructions below and complete our online new patient form.
- BUPA Platinum,
- Medibank Private Advantage
- Nib Preferred provider
Our New patient form can be filled out in a few easy steps:
We want you to have the best outcome at your upcoming appointment. To help us prepare for your visit, please follow the instructions below and complete our online new patient form.
- Click ‘Start Your New Patient Form’.
- Click on ‘Create an Account’.
- Enter your details.
- Read the terms and conditions and click on ‘Accept Terms and Sign Up’
- Confirm above registration by clicking on ‘Send’ an SMS to your mobile.
- Enter the SMS code.
- Fill in the New Patient Form and Submit!
Troubleshooting your new patient form – If you are unable to submit your new patient form, you can check:
- That you have used the auto select options in the address fields.
- You have either selected a medical condition/s & allergy/ies or
ticked the last box declaring you do not have any medical conditions / allergies.
CONFIRMING YOUR APPOINTMENT
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.
LOCATION:
We are conveniently located next to Carnegie station, with plenty of parking on Rosstown road and Woolworths (Kokaribb Rd).
Trouble completing or submitting the new patient form?
If you are having difficulties completing the form online check that all of the mandatory fields on the form have been completed.
Alternatively you download the New Patient Form by clicking the link below and emailing a scanned, completed copy to dentalcarecarnegie@gmail.com prior to your appointment.
Dental Patient Information Form
Keeping our team and patients safe...
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.
- Had any contact with a confirmed or suspected case of COVID-19 in the past 14 days.
- Are waiting on a COVID test result.
- Have been asked to self isolate.