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!

Cosmedismile map long

Contact Info

8/1 Santa Maria Ct, Burleigh Waters QLD 4220 – Located inside Eastbrooke Family Clinic

1300 000 633

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