Dental Record Transfer Form

 

At High Road Dental, we make it easy for patients to transfer their dental records, including X-rays, treatment notes, and dental history. 
Please complete below form. Our team will handle the rest. Thank you.

Patient's Details


Previous Practice / Provider Contact Details

Opening Hours

MONDAY-FRIDAY

9am-5pm

SATURDAY

9am-1pm

CLOSED ON SUNDAYS AND PUBLIC HOLIDAYS

more information

© 2025 High Road Dental. ACN 89 609 403 223. Website by Thorn Creative

We are preferred providers for Bupa, HBF, HCF, HIF, Medibank and nib which means you will receive free checks and cleans, x-rays, and maximum rebates available for all other treatment, compared with a non-preferred provider. 

We also accept ALL OTHER private health funds including AHM, HIF and can process your rebates on-the-spot with the HICAPS claims system. 

Find out more here

Tailored payment plans to eligible patients are available interest free.  We are not with any third-party payment plan providers because paying assorted extra fees do not align with our philosophy.  Most of our complex treatments like implants and Invisalign are paid for in stages.  Speak directly with us, don’t be shy, we can work something out for you.  We welcome you to email us or reach out via the web-chat.

Please let us know if you have any spoken language preferences. We are fluent in English, Mandarin, Cantonese, Hokkien, Korean and Bahasa. 

Whether it’s your very first visit to see a dentist, or you’re a regular, it can be intimidating. We take special care to ensure that all patients are comfortable before we start any treatment work. 

© 2025 High Road Dental Willetton WA.