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Advanced Dental Anaesthesia Soultions

17 Windsor Avenue, Springvale VIC 3171

Phone – (03) 8362 7007

Fax – (03) 8362 7008

Email – [email protected]

Hours

Monday – Thursday: 9am – 5pm
Friday – 9am – 12pm
Saturday – Sunday: Closed

    Health Questionnaire Download

    Please download the questionnaire below:

    -Click Download

    -Open file (PDF) and click Fill & Sign in tools.

    -Answer all questions by typing/clicking tick boxes and electronically sign x4 areas required.

    -Click next on top right hand of file & “create link” to then email document to [email protected] (you will also receive a copy)

    ADAS Screening Health QuestionnaireDownload

    Please note credit card details will be destroyed upon completion of your procedure.