Patient Referral

We provide a number of methods in which you may choose to refer your patients:

  1. If you would like to request referral pads please contact our receptionist on (03) 9028 2788 or email us.
  2. If you would like to download a referral form, please click here or
  3. Fill out the referral form electronically below.


Online Electronic Referral Form

Patient Information
Dentist Information