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COVID-19 Online Screening

Fill Out Before Your Appointment

This questionnaire is intended only for patients who have a confirmed appointment time and must be completed on the day of the appointment.

We are a registered NSW COVID-SAFE business. The safety of our patients and staff is of utmost importance to us. Working to fight the spread of COVID-19 is critical so that we can continue to deliver the optimum level of oral health care our valued practice family.

As part of our precautionary measures during these unprecedented times, please kindly complete this online screening questionnaire prior to your arrival on your appointment day. This will help us protect patients, visitors and staff from any potential risks.

Thank you for your understanding and co-operation.

*Please refer to our privacy policy for information around how the personal data we collect is used within our practice.


COVID-19 Online Screening | (02) 9543 4222