Appointment Form

  • Your details

  • Column Start

  • Column End

  • Column Start

  • Column End

  • Medical Information

  • Appointment Time

  • Row Start

  • Column Start

  • Preference 1*

  • DD slash MM slash YYYY

  • Column End

  • Column Start

  • Preference 2

  • DD slash MM slash YYYY

  • Column End

  • Column Start

  • Preference 3

  • DD slash MM slash YYYY

  • Column End

  • Column Start

  • Preference 4

  • DD slash MM slash YYYY

  • Column End

  • If you would like to ask any questions or provide information on your concerns, please do so in the box below.

  • This field is for validation purposes and should be left unchanged.

Latest News
Category: Practice Hygiene

Due to stage 4 lockdown, we are treating dental emergencies only

As advised by the Australian Dental Association (ADA), and the Victorian State Government health authorities, we are implementing stage 4 lo...

Keeping you safe at the dentist during Level 2 Restrictions

Keeping you and our dental staff safe during this period remains one of our highest priorities.

Due to Level 3 Restrictions, we are treating dental emergencies only

As advised by the Australian Dental Association (ADA), and State Government health authorities, we are implementing Level 3 Restrictions.

Coronavirus (COVID-19) Protection Measures at Station Square Dental

Station Square Dental values the health and wellbeing of all patients and staff.