Knox Terrace Dental
General & Implant Dentistry

welcome

03 9887 1611

Knox Terrace Dental

For more than 30 years, we have
been proud to provide the
people of Wantirna South with
affordable, high quality dentistry
in a relaxed environment.

about us
cosmetic dentistry

Dr Steven
Speechley &
Dr Eddie Sansil

have brought together a
friendly team of experienced dental
practitioners, who are dedicated to
ensuring the best outcomes for your
oral health.

practice gallery
children's dentistry

We believe

it’s the best way to ensure your dental
needs are not only met, but exceeded,
every time you visit us. We look forward
to welcoming you into our practice
soon.
dental implants
make an appointment
other services
denture replacement
You can also ‘make an enquiry or ’ask a question’ using this form.
BUSINESS HOURS
MON 9:00 AM - 7:30 PM
TUE 9:00 AM - 7:30 PM
WED 9:00 AM - 7:30 PM
THU 9:00 AM - 7:30 PM
FRI 9:00 AM - 6:00 PM
SAT 8:30 AM - 12:00 PM
SUN CLOSED

6/426-430 Burwood Highway
Wantirna South VIC 3152

03 9887 1611

Ask A Question

Medical History Questionnaire

Title:

 

Medical Doctor

 

How did you hear about us:

 

Do you suffer from any of the following?

 High blood pressure Heart ailment Rheumatic fever Asthma, chest or breathing problems Tuberculosis Stomach or bowel problems (eg ulcer) Kidney disease Diabetes Depression (needing medication) Excessive bleeding or blood disorder Epilepsy Hepatitis AIDS/HIV Osteoporosis or bone tumour

 

Do you smoke:

Previous illnesses:

Would you like to discuss these questions in private with the dentist?

Do you have an artificial hip, heart valve or other prosthetic implant?

Have you ever had problems with dental treatment?

Are you presently under medical care?

 

Are you taking any drugs, medicines or tablets?

 

Female patients, are you pregnant?

 

Do you have allergies?

© 2014 Knox Terrace Dental

6/426-430 Burwood Highway Wantirna South VIC 3152, Australia +61 3 9887 1611

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