Options on how to complete the Transfer of Records Form
Please download this form, print and complete.
Once completed you can email one copy to your previous Dental Clinic/Surgery and one copy to email@example.com
so we can follow up your request for records if required.
Post the form or hand it in to our Reception Team at Eversmile Dental, Suite 3 12-16 Vasse Street, Bunbury 6230
to email on your behalf.
If you have any questions or concerns please call our friendly Reception Team on 9721 1799.