Payment

Please use this payment form only if you are making a private payment of $70 for your child, have completed the consent form, and have received a payment text from our Clinical Co-ordinator.

We look forward to seeing your little one soon!

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Fee is $70 + 2.13% surcharge ($71.49 total).

To download the file, kindly complete the form below.

Tiny Teeth Doctor Angela dressed as a fairy