Register for an appointment in January 2019!

The Dental Station - January 2019

Form for patients to fill out to register an appointment for our charity program in January 2019
  • The Dental Station is committed to bringing comprehensive dentistry to communities that often have to wait too long to receive public dental services. These communities deserve better. Please complete this form thoroughly so we can provide you with the best possible treatment and service. Thank you!
  • Please note this form is ONLY to be completed by patients seeking an appointment for our charity event in January 2019

  • Please select how you found out about our service?
    Please select all that apply to you
  • The Federal Government has in place a scheme whereby children in families with access to the Family Tax Benefit A are eligible for $1000 worth of dental treatment for a 2 year period.
  • We'd ask you questions about your dental history, past experiences at the dentist and your journey through the public dental system.
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