+ 08 9387 3855

reception@periofocus.com.au

3/61 Flynn Street

WEMBLEY WA 6014

115c Canning Road

KALAMUNDA WA 6076

Contact Us
1967
page-template,page-template-full_width,page-template-full_width-php,page,page-id-1967,bridge-core-1.0.6,qode-quick-links-1.0,ajax_fade,page_not_loaded,,qode-title-hidden,qode_grid_1300,footer_responsive_adv,qode-child-theme-ver-1.0.0,qode-theme-ver-18.2,qode-theme-bridge,disabled_footer_bottom,qode_header_in_grid,wpb-js-composer js-comp-ver-7.2,vc_responsive

Did you enjoy your experience with us? We are always looking at ways to improve our services to you and would genuinely love to hear your views.

Safe treatment. Successful outcomes.

08 9387 3855

reception@periofocus.com.au

  • 9.00am - 5.00pm
  • 9.00am - 5.00pm
  • 8.30am - 5.00pm
  • 9.00am - 5.00pm
  • Closed

Weekends and Public Holidays Closed.

Knowing your medical history, including any medications you are taking, helps us provide the safest treatment and best outcomes for you.

 

Please complete this this form and email it to us, or bring it with you 15 minutes prior to your first appointment.

 

I’d like to complete this offline

 

Please arrive 15 minutes early before your scheduled visit.

I’d like to download the Medical History Form

 

Complete this prior to your visit. Where possible, email a copy to us and bring the original in with you.

 

Download Form







    Wembley

    Kalamunda