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!


Assessment Form Below

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)



Medical Precinct
Level 2, Oasis Centre
1 Victoria Avenue
Broadbeach 4218

Gold Coast, QLD

Tel: 1300 000 633

Opening Hours 

8:30am – 8:00pm

11:00am – 8:00pm

Get in Touch 

1300 000 633 

Do you have a question? We’d love to hear from you!