By signing our new patient form you agree to the following terms and conditions.
I agree to be responsible for payment of all services rendered on my behalf and on behalf of my dependents. I understand that FULL payment is due at the time of service unless other arrangements have been made.
Due to Privacy & Confidentiality laws, we are prohibited from disclosing any information regarding your personal details and/or dental treatment unless you have personally signed a request form.
FULL PAYMENT IS REQUIRED AT THE TIME OF CONSULTATION. IN THE EVENT THAT BAD DEBT IS ESTABLISHED THE RESPONSIBLE PARTY WILL BE HELD ACCOUNTABLE FOR THE TOTAL ACCOUNT BALANCED PLUS ANY FEES INCURRED IN COLLECTION OF THE DEBT.
We accept visa, mastercard, personal cheque, eftpos and cash.
If you are unable to attend, please give us 24 hours notice as last minute cancellations prevent appointments being offered to other patients.
We appreciate this is sometimes unavoidable, however as a busy practice with many patients requiring our help, frequent late cancellations or failures to attend may incur a charge.