patient forms

Please find below links to a range of forms and information.
Each item is clickable and is in PDF format.

Salamanca Dental – Patient Information Form
Have you booked your first appointment with Salamanca Dental? This is the form you will need.

Patient Records Request Form : We can obtain your prior dental records

Complete this form, then we can request your previous dentist forward a copy of your dental history to Salamanca Dental.

Australian Government : Your RIGHT to change private health insurer
You have the right to change health funds at any time. The Australian Government has produced a pamphlet to assist you.

Patient satisfaction survey
Please help us improve our care services to you, by answering this questionnaire.

Payment plans available:
We also welcome all major health funds including BUPA, St Lukes and Medibank.