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Change my dental appointment


Unable to make your appointment?

That's ok, just let us know as soon as possible so we can give your appointment to another patient. That way you will not have to wait as long for your next appointment.

If your appointment is in less than 24 hours, please call us on 03 9341 1000 or 1300 360 054. Otherwise, please complete the following form.

Please read our privacy policy regarding collection of your personal information.

All fields marked * must be completed please.

Your Details

First name*
Last name*
Date of Birth*
DR/UR Number (if known) *
Email address
Telephone number*

Your current appointment details
Current appointment date*
Current appointment time :
Dental clinic/department

Would you like to:

If you selected to cancel your appointment
you will not be given a further appointment
and we may discharge your care back to
your local dentist if you are seeking specialist care.

If you selected to change your appointment
please select a preferred day/time for your
new appointment below.  We aim to
provide appointments that suits your
availability. However, this is not always possible.

Choose a preferred day/time if requesting an appointment change

Preferred day/s:

You can select more than one day from the list.
Hold down Ctrl key and click on day/s

Preferred time:

Reason for change/cancellation

Please type the characters you see in the box.

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