Use the form below to enter your personal details before clicking through to the Secure NAB Banking Portal to make an Online Payment Visa or Mastercard. If you wish to make your payment via Direct Bank Transfer please contact the practice for Bank Details.
Complete this form and continue to the Secure Payment Gateway hosted by National Australia Bank to enter Card Details
Payments are being made to:
Smiles Only Pty Ltd
Abn 85 632 125 314
Level One, 31 Sherwood Road, Toowong, Qld 4066, Australia
Postal Address: PO Box 714, Toowong, Qld, 4066
Phone (07) 3870 3333
Email [email protected]
Consultations and Treatment
You agree that you are making a deposit for either a Consultation Appointment or for Dental Treatment and that an Invoice with treatment specific codes will be provided at your appointment.
Terms and Conditions
All patients of our practice are required to agree to our Terms and Conditions of Treatment. If you are unsure or have any questions regarding the terms and conditions, then please contact our practice staff to discuss your questions and concerns before accepting a treatment plan or commencing treatment. The Terms and Conditions include:
A treatment invoice will be provided in accordance with Health Fund rules for you to claim back at each Appointment or in the case of Crowns/Veneers/Dentures/Occlusal Splints at the Insertion of these items. This is to comply with your health fund agreements. Hicaps claims are unavailable for treatment requiring upfront payments. Any rebates received from your health fund to you are a matter between you and your health fund.
Refunds and Cancellations
Refunds are available 72 hours prior to the first appointment in a series of appointments or consultation (treatment sequence).
The refund amount will be less any incurred laboratory or material costs or finance/credit card fees.
A partial refund will be available for late cancelation with less than 72 hours notice. A fee of $100 will be forfeited along with any laboratory fees to a maximum of $2,000 and clinical costs to the value of $250 per hour determined by time allocated for any appointments within the following 72 hours.
You can cancel an Appointment by phone call (07) 3870 3333
Level One, 31 Sherwood Road Toowong, Brisbane
Phone (07) 3870 3333
Appointment Booking Conditions:
Appointments will be confirmed by Brisbane Smiles on the following business day.
Please call Brisbane Smiles on 38703333 if you miss the confirmation call or text.
Appointment Changes allowed up to 48 hours prior or a fee will be charged.
If you display any symptoms or increased risk of exposure to Covid-19 please call on 38703333.
Brisbane Smiles will prioritise your emergency needs. If after hours please schedule the next suitable time and call 38703333 for additional appointment times.