Appointment Request Call (03) 5443 5631 Please provide our Bendigo Dental Team with your preferred appointment date and time below along with some other details, and one of our team members will contact you within 1 business day. DOWNLOAD OUR MEDICAL HISTORY FORM Name* First Last Email* Phone*Preferred Appointment Day*Please select minimum 2 Select All Monday Tuesday Wednesday Thursday Friday Preferred Appointment Time*Do you prefer Morning or Afternoon?AnyMorningAfternoonStatus*Are you a new or an existing patient of ours? New Existing Appointment Type*What is the reason for this appointment?Check-up & CleanFree Implant ConsultationToothache or Broken ToothSecond OpinionOtherMore InformationAny other information that would help us serve you best, please enter here.Consent* I agree.I HAVE READ THE CANCELLATION POLICY AND AGREE TO PROVIDE MINIMUM 48 HOURS CANCELLATION NOTICE.
