• Health Questionnaire Form

    Dental on Raffles. 106 Raffles St, Napier. Contact Phone : 8356253 Dr Gary Winter, Dr Garth Forbes, Dr Tabetha Lindsay, Dr Jaymon Huang, Dr Jess McLeay.
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  • Confidential Health Questionnaire

    In order to provide the best and safest dental treatment, your dentist needs to know of any medical problems which may affect your treatment.
  • I agree that Dental on Raffles has a policy which requires full payment on the day of treatment, unless otherwise arranged with the Dentist or Receptionist, I authorize you to furnish to any third party information held by you for the purposes of administration and protection of such credit. I also understand that any accounts that are deemed overdue will be liable for any and all collection costs including agency fees.

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