Medical History Form

  • In order to render dental treatment of a high standard, it is necessary to have the following information (which will be handled confidentially). Please help us protect your health and well being.
  • Dental History

  • Other Details

  • 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
    Monday7:00am - 5:00pm
    Tuesday7:00am - 5:00pm
    Wednesday7:00am - 5:00pm
    Thursday7:00am - 5:00pm
    Friday7:00am - 5:00pm
Ask Dr Tony Nguyen
Every Tuesday from 1pm, Dr Tony Nguyen will be available to provide complimentary professional advice and answer any of your oral health questions or concerns. Bookings are essential and advance notice is required of you cannot attend your appointment. Any proceeding treatment will incur a fee.