1) I have answered all of the history questions Where further information is required I give permission to contact my physician for further details
2) I consent to the taking of dental records including but not limited to X-rays, photographs, study models and where appropriate panoramic or 3D dental imaging
3)I understand that I am responsible for payment for dental services at the time of appointment unless other arrangements have been made.
4) I understand that short notice cancellations (24 hours) and failed appointments may attract a cancellation fee.