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By booking you agree to our patient terms and conditions and appointment and cancellation policy. Your details are handled as described in our privacy collection notice.
Privacy collection notice. We collect the details you enter so we can contact you, book and treat you safely, and process claims. Select to read how your information is handled.
This dental practice is operated by Averra Dental Pty Ltd. We collect the personal and health information you provide in this form so that we can book your appointment, contact you, assess and treat you safely, keep accurate clinical records, and process payments and health fund or Medicare claims. If you do not provide the information we ask for, we may not be able to treat you or may not be able to treat you safely.
We may disclose your information to other health practitioners involved in your care, dental laboratories, Medicare, your health fund, our practice software and secure messaging providers, and others as described in our Privacy Policy. Some of our service providers store limited data outside Australia; our Privacy Policy explains where and how it is protected. We are required by law to collect your Medicare number if you claim benefits under the Child Dental Benefits Schedule.
Our Privacy Policy explains how you can access and correct your information and how to make a privacy complaint. It is available on this website and at reception. Privacy questions: privacy@averradental.com.au.
By submitting this form you confirm that the information you have given is accurate and that you have read this notice. If you are completing this form for a child or another person, you confirm you are authorised to do so.