Casuarina Square Dental Care
A Great Dentist

New Patient Forms

Save time waiting by filling out necessary forms online. Feel free to give us a call if you have any questions.

The PDF form is fillable so you can type your responses and then print it out to bring with you for your appointment. Please note, you cannot save the form within your browser, you must open it up in your PDF reader (Adobe/Preview) if you wish to save it before printing.

Medical History Form

Cone Beam CT Info

Have Questions? Get in Touch
(08) 8927 9418
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
COVID-19 Patient Safety Update
In light of the government's easing of restrictions on dental practices, we have now reopened and welcome both new and existing patients to call 8927 9418 to book an appointment. Rest assured, we are currently taking additional infection control precautions to ensure the safety of our staff, patients and community. Please remember, if you have a fever, dry cough and/or any flu-like symptoms, phone ahead and let our friendly receptionists know to ensure the safety of our community.
Many thanks, Casuarina Square Dental Care