To request an appointment with EDC please complete the information below and it will be sent through to our reception staff for processing.

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This information, which will remain strictly private and confidential, will provide us with a better understanding of your dental and oral health needs as well as your medical history so that we can provide you a better service. We will not disclose patient's personal information.

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If you have any questions regarding this form or to make an appointment by phone, please email us at info@emergencydentalcentre.com.au