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Redbacks Mouthguard Order Form

By completing this form you are giving your consent to treatment.

The information which you provide is completely confidential and protected by the provisions of the Federal Privacy Law Legislation. Your assistance in completing our acquaintance form assists us to provide you with dental care of the highest standard.

Disclaimer: Cambridge Dental uses Hi-caps to service dental healthfund claims. The healthfund rebate is dependent on your individual level of cover. Any concerns regarding rebates paid should be discussed with your healthfund.

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