Referral principle
The specialist will manage the referred condition and support continuity of care. Routine dental care remains with the referring dentist unless another arrangement is agreed.
FOR REFERRING DENTISTS
Online specialist dental referral
Prepare the referral here, review the summary, then continue in WhatsApp. Attach radiographs or other records directly in WhatsApp after the message opens.
How this online form works
This page does not upload or store patient details. Information is placed into a WhatsApp message only when you choose to continue. Please review it before sending and attach supporting records separately.
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Specialist Dental Referral Form
Fields marked * are required. Select at least one specialist service.
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