Please fill out the form below to complete our Covid19 Pre Appointment Questionnaire.

Name(Required)
Date of Birth(Required)
Are you waiting for a COVID-19 test or the results, or considered a probable case, or been asked to self-isolate?(Required)
Do you have a confirmed diagnosis of COVID-19?(Required)
Have you had close contact with other people in the last 14 days who are probable or confirmed to have COVID-19?(Required)
Have you been at a current contact tracing location of interest – identified by the Ministry Of Health?(Required)
Do you have new or worsening symptoms of an acute respiratory infection with at least one of the following, with or without a fever:(Required)
Have you travelled overseas in the last 14 days and been required to quarantine on your arrival to New Zealand?(Required)
Are you fully vaccinated?(Required)
If you have an appointment booked and you answered YES to any of the above, please call us to talk through your options. We may also call you to confirm your answers to these questions again, just prior to your appointment, in case anything has changed for you. We do appreciate your support and understanding as we unite with you against COVID-19.

Get In Touch With The Cosmetic Dental Team

Make an appointment with one of our cosmetic dental specialists, who will assess your teeth and talk you through the options for whiter teeth. We will be happy to answer any questions you might have and strive to achieve your desired result!