Patient Intake

Internal form for Patient Intake calls.

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Patient Details

Patient Full Name(Required)

First Name Last Name

Email Address(Required)

Phone Number(Required)

Address(Required)

Street Address Address Line 2 State Postcode

Date of Birth(Required)

Parent/Guardian Full Name

Guardian First Name Guardian Last Name

Treatment Options

What prompted you to book a consultation?(Required)

What are your concerns about your/their teeth?(Required)

Do you have a particular appliance in mind, such as braces or clear aligners?(Required)

Do you have any concerns about starting treatment?(Required)

When was your last general dentist checkup?(Required)

Date of First Appointment(Required)

Time of First Appointment(Required)

The Bunbury Orthodontics Difference

Friendly and
Professional Team

Expert care delivered by a friendly and experienced team.

Personalised
Treatment

We provide a tailored treatment plan to suit your needs.

No Referral
Required

Access our services directly - no dentist referral necessary.

Frequently Asked Questions

Does treatment hurt?

Braces and aligners apply gentle pressure to the teeth to help shift them into the correct position. This movement can sometimes cause mild tenderness around the teeth. Any discomfort is typically minor and can be managed with over-the-counter pain relief if needed.

How much does treatment cost?

The cost of treatment depends on the complexity of your case and the type of appliances needed. After a consultation with our Orthodontist, we’ll provide a detailed treatment plan, including item codes you can submit to your private health fund. We’re committed to transparency and offer flexible, interest-free payment plans to suit your budget.

Is orthodontic treatment necessary?

If you’re feeling self-conscious about your smile or finding it hard to chew or clean your teeth properly, orthodontic treatment may help improve these issues. There’s absolutely no pressure to start treatment—the choice is always yours. At your first consultation, we’ll walk you through all the options available so you can decide what’s best for you.

When is the best time to start orthodontic treatment?

The best time to start orthodontic treatment depends on the type of misalignment. For most people, the ideal time is during the adolescent growth spurt. In some cases, it’s better to wait until growth has finished, while in others, starting earlier may lead to the best results. After a consultation, we can give you personalised advice based on what’s right for you.

Am I too old to have orthodontic treatment?

No, plenty of adults decide to get orthodontic treatment to improve their smile.

What is the difference between a dentist and an orthodontist?

An orthodontist is a dental specialist who has undertaken an additional three years of specialized training in orthodontics beyond their general dental education. This advanced training equips them with expert knowledge in the diagnosis, prevention, and correction of tooth and jaw alignment issues.

Can I get a second opinion?

Absolutely—we encourage everyone to research their options to ensure they select the treatment that’s right for them.