patient forms

AVD Patient Request Form Pic.jpg

DENTAL RECORDS request form

This form is for those transferring to Annandale Village Dentistry from another dental practice. Having your previous dental records can greatly help us to best manage your oral health moving forward.

Please download the form below. Please take a photo of the completed form and email to smile@AVDentistry.com.au with your name in the subject line.

We'll contact your previous dental practice and arrange to have your records sent to us prior to your next visit.