Injectables History Form

  • You may wonder the relevance of our asking the following medical questions. Due to the high percentage of the population now who have had, or who are contemplating having anti-wrinkle treatments, dermal fillers, and muscle relaxant therapy for migraines, tension-type headaches, temper-mandibular disorders, fibromyalgia, or myofascial pain dysfunction, it is necessary to ask these confidential medical questions to protect your health.
  • This field is for validation purposes and should be left unchanged.

Make an Enquiry

  • Phone (07) 4051 4580
  • Fax (07) 4031 5226
  • Email info@futuredental.com.au japanese@futuredental.com.au
  • Address Ground Floor "Accent on McLeod"
    93-95 McLeod St

    Cairns QLD 4870
  • Hours
    Monday 7:00am - 5:00pm
    Tuesday 7:00am - 5:00pm
    Wednesday 7:00am - 5:00pm
    Thursday 7:00am - 5:00pm
    Friday 7:00am - 5:00pm