Assessment Form
Please complete our easy Dental Assessment form to determine if you are a candidate & receive your free quote! For assistance completing this form please call 1300 000 633!
Next Steps
Step 1 – Take your Photos
Step 2 – Start the online assessment form
1. Photograph Instructions
- Photos must be clear, in focus, no shadows and taken as close as possible.
- Include lower face and to the neck line
- If photos are larger than 1MB please email photo separately to [email protected] after you finish
2. Complete Assessment Form: (To be started after phots are taken)
Head Office: Medical Precinct, Level 2, Oasis Centre
1 Victoria Avenue Broadbeach 4218
CosMediSmile Clinic: 8/1 Santa Maria Ct, Burleigh Waters QLD 4220 – Located inside Eastbrooke Family Clinic
CosMediSmile Head Office
CosMediSmile Clinic
Opening Hours
MONDAY – FRIDAY: 8:30am – 8:00pm
SATURDAY – SUNDAY: 11:00am – 8:00pm
Get in Touch
1300 000 633
We’d love to hear from you!
