"Comprehensive Dental Services for Your Smile's Wellbeing"

Our practice offers a full range of dental services, from routine check-ups and cleanings to advanced treatments like dental implants and orthodontics. Our experienced team is dedicated to your oral health and your smile's wellbeing. Visit us for personalized, compassionate dental care.

© 32 SmileDesign 2023 write to us at reception@32smiledesign.com.au
contact us at (02) 8809 4301 Powered by Tekforth

Welcome To 32 SmileDesign

The following information will assist us to provide you with the highest standard of care. This information will be handled confidentially. Please refer to our privacy policy for further information.

Personal & Contact Details

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Medical History

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Medical conditions

Allergies

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Dental History

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Routine Hygiene Habits:

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Consent to Dental Photography

I, (Patient)

authorize Dr. Chintan Patel (B.D.S) and his associates to take photographs, and/or videos of my face, jaws and teeth, before, during and after treatment.

I consent to allow the photographs to be used for

  • Dental Records
  • Case discussion with dental colleagues
  • Dental education including lectures, seminars, demonstrations, professional publications such as journals or books
  • Marketing purpose including website and patient education
  • Social media discussion - closed professional group only

I further understand that if the photographs and/or videos are used, my name or other identifying information will be kept confidential.

I do not expect any compensation, financial or otherwise, for the use of those photographs.

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