WINTER SMILES-DENTISTRY IN INDIA

As a new patient to our Practice, to help facilitate in providing you with quality personal and dental care, we need to gain a thorough understanding of your medical and dental history. For this reason, we will request that you complete our “Patient Contact Details b'&' Medical History Form”. For your convenience, we have made this Form available as a PDF download. If you are unable to complete the Form prior to your initial appointment, please arrive 10 minutes early so that you will have time to fill out a hard copy on the day. Address: 2/260 Auburn Rd, Hawthorn VIC 3122, Australia