Dental Consult X-Ray Referral Request

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Please Complete the Patient Details Below:

Patient Full Name:
Patient Home Address:
Select todays date.

Please Attend


Address: Level 1, 6/470 Wodonga Place Albury NSW 2640

Phone: (02) 6051 1660 | Opening Hours: Mon-Fri 08:30-17:30

No Appointment Needed

You do not need to schedule an appointment to take the X-rays; walk-in patients are accepted.

Guarding Patient Confidentiality: A Top Priority

Patient Confidentiality_READ MORE

Patient Confidentiality

At Riverina Dental Albury, we uphold patient confidentiality and privacy in all our services, including online form submissions. When you submit forms through our website, rest assured that we take the utmost care to ensure the security and confidentiality of your personal information.

We employ state-of-the-art security measures to safeguard the data you provide, and our staff are trained to handle patient information with the highest level of discretion and professionalism. Our top priority is your privacy, and we adhere to all relevant privacy laws and regulations to protect sensitive information.

It’s important to note that we do not use personal identifiers such as full names in these forms. By omitting personal identifiers, we further enhance the confidentiality of the information you submit. Your privacy and anonymity are central to our commitment to maintaining the highest standards of patient confidentiality.

By submitting forms online, you can trust that your details, medical history, and other information will be handled with the strictest confidence. Our commitment to patient confidentiality extends to all interactions with our practice, whether in person or online.

If you have any concerns about the privacy and security of your information when submitting forms online, please do not hesitate to contact us. We are dedicated to providing you with the highest standard of care, including ensuring the privacy and confidentiality of your personal information. Thank you for entrusting Riverina Dental, Albury, with your dental care.

Yours sincerely

Dr Denver Maloney BDS (Syd) 1989

Dental Surgeon | Practice Principal