Just fill in the form below and leave the rest to us. We'll call and confirm a time.

Full Name *

Contact Phone Number*

Email *


You are a:
New PatientExisting Patient

Please tick that you have*:
Healthcare CardGovernment Pension/Benefit StatusMedicare CardPrivate Health InsuranceNone of the Above

Where did you hear about us?
Referral - Family/FriendReferral - GPExisting PatientInternet SearchAdvertisement - Newspaper/MagazineAdvertisement - RadioSignageLetterbox FlyerSchool NewsletterPreschool VisitPrivate Health FundLocal Sports ClubOther

To request an appointment, please complete your preferred dates and times.

Choice 1


Choice 2


Choice 3:


If you would like to ask any questions or provide information on your concerns please do so in the box below.

What is your preferred time to be contacted?
Any TimeMorningAfternoonEvening

Enter captcha: captcha


Thank you for your appointment request

Your request was sent successfully.

We have received your enquiry and will contact you to arrange an appointment time as soon as possible. For urgent enquiries please call us on 9430 3100.

For all general enquires please use our Contact Form.

Thank you for contacting us

Your enquiry was sent successfully.

We have received your enquiry and will respond to you as soon as possible. For urgent enquiries please call us on 9430 3100.

Alternatively you can use our Request an Appointment Form.


Healthy Bite Dental welcomes your feedback, including any complaints, compliments or suggestions. We appreciate you taking the time to let us know how we treated you and how we can improve our service. To complete feedback online, please fill out the form below.


Please write your feedback, including any compliments, complaints or suggestions in the box below:

Would you recommend Healthy Bite Dental to family and/or friends?

If you would like to discuss further, please provide your details below:

Enter captcha: captcha


You can also provide your feedback:
•Direct to the staff member who provided the service
•To the Chief Executive Officer on 9430 3100 or ceo@healthability.org.au
•Provide your written feedback in the suggestion box at reception



If you are not satisfied with our service, please contact us. We take complaints seriously and aim to resolve them quickly and fairly.

If you remain dissatisfied with our response, you may contact the Health Complaints Commissioner (HCC). The HCC responds to complaints about health services and the handling of health information in Victoria.

Their service is free, confidential and impartial. To lodge a complaint with the HCC:
•Fill out a complaint form online at www.hcc.vic.gov.au or
•Phone 1300 582 113 between 9am and 5pm, Monday to Friday to discuss your complaint.