Cancellation/rescheduling policy of 24 hours applies, cancellation fee $50, not recommended for pregnant, breastfeeding women or children under the age of 14 years, may not be effective on caps, crowns or fillings. Results may vary.


I acknowledge that I am purchasing a self-administered Teeth Whitening Kit that is designed to whiten the color of my teeth. As a part of the purchase, I am asking for assistance in the use of my teeth whitening kit, and I understand that I will be allowed to use a specially designed LED Lamp in order to accelerate the whitening process. Although most natural teeth can benefit from a teeth whitening treatment, I understand that everyone’s teeth are different and that results will vary.

CAUTIONS AND DISCLAIMER agreeing to this consent form frees all distributors, manufacturers, and affiliates from all liability associated with the use of this formulation or system or additional use of any light source.

• Do not use if pregnant or lactating.

• Do not use if periodontal disease or other medical conditions exist in the mouth.

• Do not use if you have a history of allergic reactions to peroxide products.

• Do not chew or use tobacco or drink alcohol during your treatment.

Temporary side effects of tooth sensitivity or mild tissue irritation may occur but are usually transient and may last for a day or two. By agreeing to these terms and conditions, I indicate that I am eligible as per the criteria listed above, that I have read and fully understand this entire document and that I am performing this treatment under my own responsibility.


Gift Card Terms & conditions:

  1. Valid at every PureSmile store.
  2. Not to be used with any other offer.
  3. May be redeemed Monday – Sunday and includes late night Thursdays.
  4. The gift cards Cannot be replaced if lost.
  5. Booking must be made 24 hours in advance.
  6. Voucher needs to be presented at the time of the appointment.
  7. Valid for one use only.
  8. Not redeemable for cash or any other offer.
  9. Gift cards have a 6 month expiry date.

Note: Our vouchers are set to sent directly to one specified address.

For more information about our gift cards please contact us or call us at 1300 858 199.