Information for Referrers

Information for GPs, dentists and specialists referring patients.

New Patients

Referrals can be sent via email or fax directly to the practice. For anything urgent in nature we recommend practitioners contact Dr Smith directly or our General Manager who can triage the case appropriately.

Urgent Appointments

If you have an urgent referral, please contact us on (08) 6468 4948.

Referral FOrm

To expedite the referral process and assist us with treating you, please download and complete our referral form below.

Referral Form

Referring Doctor / Dentist / Clinic

Address
Address
Suburb
State
Postcode

Patient Details

Address
Address
Suburb
State
Postcode
Sex
Being Referred To
Radiographs Available

Maximum file size: 5MB

Please upload only the following files types: jpg, jpeg, png, gif, doc, docx, pdf.
Treatment Required

Other Information

Oral Surgery Consultants, West Perth and Darwin

Our surgeons treat conditions, defects, injuries and aesthetic aspects of the mouth, teeth jaws and face.

Practicing in all areas of the specialty including Dentoalveolar Surgery, Wisdom Teeth, Dental Implants, Surgery for Dentofacial Deformity, Benign Oral Pathology, Facial Trauma, Treatment of Oropharyngeal Malignancy and Jaw Reconstruction.