Online Cosmetic Consultation Request

For those of you considering that perfect smile of your dreams and want to know what you can do in order to achieve it, please fill in the form below for a 10 minute preliminary online consultation via video conference. The cost of this consultation is $55. Payments will be made by credit or debit card over the phone prior to the consultation.

Please note that accepted formats for the video conferencing include Skype and Google Hangouts.

Once you have filled out the form we will contact you to suggest a time (during business hours Monday to Friday) for the consultation. We will also be sending instructions for you to take some photos we need for the consultation so have your cameras ready!



Please complete the form below

Name *
Please include your area code if in a state outside NSW
Basically, what would you like improved with your smile
Anything else you think we need to know such as medical history, previous dental treatment etc.