Patient Registration

Welcome to “The Dentist at 70 Pitt Street” and thank you for choosing to fill this questionnaire online. This is more than a “new patient form”, think of it more as a “getting to know you” questionnaire, where you share with us your contact details, your medical history, your dental history and even some personal history. All these details can be used to determine your predisposition to dental and other health problems and decide most appropriate course of treatment to suit your lifestyle.

We estimate it will take up to 5 minutes to complete this questionnaire if you choose to answer all of the questions.