Before you arrive - Melbourne Orthodontic Group

Hello & welcome!

If you’ve landed here you have already booked a consultation appointment. Your confirmation email or voucher will have all the details of your appointment time.

Please scroll down, read and acknowledge the information on this page. You will then be directed to complete a medical history form.

Whilst there is no charge for your initial consultation with MOG, we have reserved time for you with your orthodontist & treatment co-ordinator. The value of this appointment is $120.

During this visit, we will take a close look at the development of your teeth and jaws, then give you our recommendation for the most suitable treatment and an estimate of treatment costs. This first visit should take up to thirty minutes and there’s no obligation to undertake treatment.

Your consultation is all about you and your needs, so feel free to ask any questions that you may have.

Terms & Conditions

Involves a consultation with an orthodontist and treatment co-ordinator.

Please note a minimum of 24 hours notice is required to change an appointment. If you miss your appointment, your free consultation will become void and a standard consultation fee of $120 will apply.

We will phone or SMS a reminder 48 hours before your appointment.

Voucher only valid for the first consultation for new patients with an orthodontist of your choice at MOG.

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Fields marked with a * are required.

Please check the box to acknowledge that you have read and understood the terms & conditions of your free consultation appointment *

Please read the following Health Information - Privacy Consent Form

In accordance with the Victorian Health Records Act 2001 and Federal Privacy Act 1988

Our practice respects your right to privacy. We realise that it is important that you understand the purpose for which we collect details about your health, as well as how this information is used at our practice and to whom this information might be disclosed.

The policy of our practice is to follow these procedures:

The information collected will be used for the purpose of providing treatment to you. Personal information such as your name, address and health insurance details will be used for the purpose of addressing accounts to you, as well as processing payments and writing to you about our services and any issues affecting your treatment.
We may disclose your health information to other health care professionals, or require it from them if, in our judgement, that is necessary in the context of your treatment. In that event, disclosure of your personal details will be minimised wherever possible.
We may also use parts of your health information for research purposes, in study groups or at seminars as this may provide benefit to other patients. Should that happen, your personal identity will not be disclosed without your consent to do so.
Your medical history, treatment records, x-rays and any other material relevant to your treatment will be kept here. You may inspect or request copies of our records of your treatment at any time, or seek an explanation from the dentist. Statutory fees will apply in relation to the types of access you seek. If you request an explanation of our records or a written summary, our usual fees apply to these services.
If any of the information we have about you is inaccurate, you may ask us to alter our records accordingly.

You can otherwise rest assured that your health information will be treated with the utmost confidentiality. Disclosure will not be made to any person not involved in either your treatment or the administration of this practice, without your prior written consent. If you have any queries or concerns about our handling of your health information, please do not hesitate to raise these concerns with our practice.

If you would like a copy of this privacy consent form click to download.