DENTAL HISTORY IN CONFIDENCE

I would like to welcome you to my practice. This questionnaire is confidential and filling out this form helps us provide the best possible care and treatment for you. To optimise your treatment time, please complete and submit this form one week to at least forty-eight hours prior to your appointment.

Please arrive 15 minutes earlier than the scheduled appointment time to allow for pre-treatment administration.

ANTIBIOTICS: If your medical practitioner or medical specialist advised you that your medical condition or joint replacement requires antibiotic coverage prior to dental appointments, then they must be taken prior to a periodontal consultation and or treatment. If the antibiotics were not taken as advised then the examination cannot occur.

New Patient History

Refer a Patient

Referring a patient to our Practice?
All general enquiries and referrals are kept strictly confidential.
Please use our Client Referral Form for more specific contact with Coastal Periodontics.

Download Fact Sheets

Coastal Periodontics have prepared the following fact sheets containing more detailed information.

Simply click to download

Choose Tried-and-True Methods to Treat Gum Disease

Maintenance. Why we do it

How to Reduce Inflammation at Home

Causes of Gum Disease

Operating Hours

Mon - Thurs 8:30 - 5:30 by appointment only

 

Treatment of Periodontal ‘gum’ disease.
Placement of dental implants.
Exposure of impacted teeth/ fraenectomies etc.
Functional and Cosmetic ‘gum’ surgery.
Surgical extraction of teeth.

New Patient History

Refer a Patient

Referring a patient to our Practice?
All general enquiries and referrals are kept strictly confidential.
Please use our Client Referral Form for more specific contact with Coastal Periodontics.

Coastal Periodontics
Suite 1, 20 Lake Orr Drive
Varsity Lakes, QLD 4227

Telephone: (07) 5578 7741
Fax : (07) 5578 7780
Email: [email protected]coastalperiodontics.com.au