Patient History Record

If you are visiting Dentistry on Unley for the first time, we kindly ask that you complete our Patient History Record prior to your appointment. Providing this information allows us to deliver the highest standard of care in a safe and personalised manner.

You have two options: 

  1. Print and complete the form – You may download, print, and fill out the form, then bring it with you to your first appointment.
  2. Complete the form online – Simply fill out the form below and it will be sent directly to us via secure email. 

Online Patient History Form

Contact Our Team

Monday to Friday:  8:30 am – 5:30 pm
Saturday:  8:30 am – 12:30 pm
Sunday & Public Holidays:  Closed

Phone

08 8272 9087

Email

smile@dentistryonunley.com.au

Address

Suites 1-4/292-294 Unley Rd,
Hyde Park SA 5061

Entry & Parking

Please note there is no front door on Unley Road. Entry is via the car park at the rear of the building. Pedestrian access is available from Unley Road through the undercover walkway at the northern end of the building.

Accessibility

Wheelchair access and amenities are provided for your convenience.

Public Transport

We are easily accessible by bus.
The following services stop nearby: Bus routes  190, 195, 196.