Dental Professionals Referrals

We thank the continuing support of our fellow general dentists, oral health therapists, and medical and allied health professionals in Townsville who have asked us to participate in their patients’ care.

Trust that we will do our best to offer appointments within the same day or week of referral, treating kids locally from our rooms or at the Townsville Mater Private Hospital.

When we have completed treatment, operative report, clinical photos and radiographic imaging records will be sent back to each referring practice. Advice will be given for parents to bring their kids back to their primary dental providers (dental homes) for regular 3-monthly or 6-monthly recare.

For cases that are restoratively or medically too complex and require multidisciplinary care, please allow us to seek clinical instruction from our local Townsville medical and dental specialists,

Townsville Oral and Maxillofacial Surgery | Townsville Orthodontic Specialists | Ethos Orthodontics | Townsville Endodontics | Endodontics NQ

or facilitating a further referral to the public system (Townsville or Brisbane), or to one of the following Brisbane-based Specialist Paediatric Dentists

ToothTown - Dr Helen Fung | Paediatric Dental Group - Dr Daniel Ford | Kids Dental and MyBraces - Dr PY Lai

After filling out the referral form below, Garret will personally email back to acknowledge the referral.

Referral Form

Referring Dentist and Practice

Referring Dentist

Name of Practice

Address of Dental Surgery

Phone Number

Email Address

Patient Details

Name

Date of Birth

Name of Parent/Guardian

Phone Number

Email Address

Reason for Referral

Select reason/s *

Consultation

Non-pharmacologic Behaviour Management

Treatment under Relative Analgesia

Complex Treatment under General Anaesthetic

Radiographs enclosed *

Yes

Emailed

Upload Files (if multiple files please create zip file)

Clinical Notes / Medical History

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