Contact

Booking enquiry and contact

Dental practices can ask about a session with the booking enquiry form or by phone. Patients and anyone else can use the general form further down.

Call 0411 965 272
Dentists, oral surgeons and practice managers

Booking enquiry

Tell us about your practice and the session you have in mind. You will be contacted to talk through the setting, the treatment and the arrangements, and to agree a secure way to send patient referrals. Read how a session is arranged first if it helps.

Practice and session details only. Do not enter patient names, dates of birth, Medicare numbers, images, radiographs or clinical details here.

Enter the practice name

Enter the practice's suburb or town

Enter the name of the person to contact

Choose your role

Enter a full email address, such as name@example.com

Phone numbers can contain digits, spaces, brackets and + only

Choose where the session would be

For example: a Friday each month from February, or two specific dates.

Enter the days or dates you are considering

Choose the likely size of the list

The kinds of treatment and the depth of sedation or anaesthesia you are considering. Practice information only. Up to 600 characters.

Keep this to 600 characters or fewer

Why we ask for these details. They are used only to reply about a possible session. The form emails them on and the website keeps no copy. The privacy policy explains how personal information is handled.

Any other question

For questions about ADAG or this website. If you are a patient, questions about your own treatment should go to your dental practice or your anaesthetist, who know your health and your plan.

Leave medical details out of this form. If your health needs to be discussed, a more suitable way to do that will be arranged.

Enter your name

Replies are sent here.

Enter a full email address, such as name@example.com

Add it if you would rather be called.

Phone numbers can contain digits, spaces, brackets and + only

Choose one option to say who you are

Up to 1,500 characters. No personal health details, please.

Write a message of at least 10 characters

Why we ask for these details. Your name, contact details and message are used only to reply to you, never for marketing. The form passes your message on by email and the website stores nothing. See the privacy policy for how to see or correct information held about you.