We are happy to help you find a time that works for both your schedule and ours.
If you’re unable to find a suitable time, please contact us on (02) 9797 8080.
Please Note: Due to a very high demand, we are only offering a limit of 10 new applicants per month. Please complete your details and we will advise you whether you are successful for this month, otherwise we can move you to our waitlist or for next months allocation.
1. Have you ever had a Dental Implant?
2. Choose which stage you may be at:
Require an extraction for a Dental ImplantHad an extraction for a Dental Implant in the last 3 monthsHad an extraction more than 3 months ago
3. Location of desired implant
Front teethBack teeth
4. Please enter your details below:
When did you last visit the dentist?
Within 12 months1-2 year2-4 years5+ Years
When it comes to your smile, what’s your biggest challenge or concern?
How long have you considered improving your smile?
Within the last year1-3 years3-5 yearsForever
What’s your main motivation for wanting to change your smile?
Further my careerFor myselfWedding dayFor a special eventLooking for LoveOther
When are you looking to achieve your dream smile by? Please be as specific as possible so we can make sure we can get it done in time.
Do you have Private Health Insurance? (The reason we ask is that you may be eligible for instant rebates via HICAPS).
Would you like more information about our interest-free Invisalign payment plans?
Yes pleaseNo thanks, I'd rather pay in full and save up to 5%
What’s your age (Used to give a personalised recommendation).
Mobile Number (Our team will call you on this number).