• 6 Weedon Close, Belconnen ACT 2617
  • 02 6251 5477
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Note: Be sure to fill in all sections carefully, for if we accept your case this sheet will be filed for study with your examination results. If, after x-ray analysis and examination you are not accepted for adjustments, the only charge will be for the x-rays and examination.

[contact-form-7 id=”4201″ title=”Patient Information Form”]