VITASMILE / WAITING LIST
Tell us
about yourself. what you need.
Interested in care at our practice? Leave your contact details. We will call or email you when capacity becomes available.
What happens after I submit the form?
We will add your application to the waiting list. This does not reserve an appointment or confirm registration at the practice.
Have a question? 567 212 218mddrsvoma@gmail.com
Waiting list application
Enter the details of the person seeking care. All fields are required.
APPLICATION RECEIVED
Thank you for your interest.
Your application has been saved to the waiting list. We will contact you on the phone number provided when we can arrange the next steps.
This does not reserve an appointment or confirm registration.
Back to Vitasmile