Thank you for making your first appointment with our dentist at JACO Dental.
To assist with the smooth transition of your appointment as a new patient, please complete this registration form.
All patient information is kept private and confidential and will only be viewed by JACO Dental team members. If you are concerned about your privacy, please arrive 10 minutes before your scheduled appointment to complete the form in person.
What to bring to your first appointment
- Private health fund card
- Dental X-rays if available
- Dental notes from past dentist if available
If you need to reschedule, please provide at least 24 hours notice. If you need assistance finding our clinic, please call us on (02) 9411 5583. Our friendly team members are more than happy to assist with directions.
We look forward to seeing you at your first appointment.