Online Forms

Online Forms Melbourne

For the team at South Yarra Orthodontics to properly treat you or your family, the details of your medical history is needed. Having your medical history can enable our orthodontists to treat you with optimal and personalised care.

For your convenience, we have both our medical history form, dentist referral and privacy policy form for you to bring with you to your appointment or send us ahead of time.

If you would rather fill out these forms online, please follow these links to the required online form.

Medical History Form

Privacy Policy

Dentist Referral Form

Please note, all the information you give on these forms will remain strictly confidential. For more information on our online forms, please don’t hesitate to contact us.