Patient Forms

Are you new to our clinic or haven't visited us in the last two years? If so, please take just a few minutes to fill out and print the following new patient / medical history form.

If you're an existing client, you can also use the form to update any changes to your personal details. It will save you the time and hassle of having to provide the information at your next appointment with Surfers Paradise Dental Centre (SPDC).

At SPDC we take your privacy very seriously. That’s why we’re asking you to print the new information sheet, fill it out and sign it, then bring it along with you to your next appointment.  Or you can download it into your own computer now for completion whenever you like.  It’s the surest way of safeguarding the security of your information.

To access the form, please click on the link below.

New Patient / Medical History Form