Skip to content

All appointments and inquiries – Call us at 9592 6445 or submit an appointment request Request An Appointment

About Us
- Our Team
- Our Clinic
Procedures
For Patients
For Practitioners
- Referral for Surgical Opinion/Management
- Practitioner Feedback Form
Operating Locations
Contact Us

About Us
- Our Team
- Our Clinic
Procedures
For Patients
For Practitioners
- Referral for Surgical Opinion/Management
- Practitioner Feedback Form
Operating Locations
Contact Us

All appointments and inquiries – Call us at 9592 6445 or submit an appointment request

Patient Feedback Form

Home » Patient Feedback Form

Contact Information

Name(Required)

Contact Number(Required)

Email(Required)

Date

DD slash MM slash YYYY

Feedback Regarding

Site of Service

Feedback

Would you like to be contacted by our staff regarding your feedback?

Yes

No

CAPTCHA

Patient Feedback Form - 1

Schedule an appointment with us now!

Operating Locations Request An Appointment

Our Procedures

Wisdom Teeth Removal
Corrective Jaw Surgery
Dental Implants
Bone Graft
Intravenous Sedation (IV)

Follow Us Online

Quick Links

Information for new patients
Patient Registration Form
Surgery Information
Payment Method
Frequently Asked Questions
IV Sedation Questionnaire
Patient Feedback Form

How To Contact Us

Brighton East Practice

637 Nepean Hwy, Brighton East, VIC 3187

admin@vofs.com.au

Mornington Practice

1022 Nepean Hwy, Mornington, VIC 3931

admin@vofs.com.au

Ballarat Practice

21 Raglan St N, Ballarat Central, VIC 3350

admin@vofs.com.au

Send Us A Message

Name(Required)

Email(Required)

Phone(Required)

Untitled(Required)

CAPTCHA

Copyright 2026 © Victorian Oral & Facial Surgeons | site by azuri

Call Now
Contact Us