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Request Information

Step 1 of 3 - Contact & Practice Details

1. Please fill in the form below to register your interest in smile.com.au.

2. A full information pack & application will be emailed within 3 business days

3. Due to a large volume of interest, please be patient. Smile completes a review and onboarding cycle every 3-4 months.

IMPORTANT NOTE: If you already have a practice approved by Smile and wish to apply for an additional location, please email [email protected] instead of requesting information below.

Best contact

Title*

Practice details

Practice address

State*

Request Password Reset

Enter the email address that you started your cover with and we’ll email you instructions to reset your password.

Request Instant Login Link

Enter the email address that you started your cover with and we’ll email you an instant login link!

Thank you

Please check your email for further instructions. If you do not receive the email shortly, please check your spam folder or filtering tools.

Thank you

Please check your email for your instant login link! If you do not receive the email shortly, please check your spam folder or filtering tools.

Oops! The email address entered doesn't match our records.

Please contact our friendly Team at [email protected] or call 1300 238 648 during business hours.