REFER A PATIENT

Referring a patient to Brisbane Perio Care? You've come to the right place!

All general enquiries and referrals are kept strictly confidential.

At Brisbane Implant Dentistry & Perio Care, we aim to make the referral process easy for you. Simply fill out our Patient Referral Form and send it to our team, or alternatively, complete the form below.

If you have any questions about sending through referral please call us on (07) 3350 4344

Patient Referral Form

To Refer your patient to Perio Care please complete and send the Patient Referral Form to admin@periocare.com.au

Send Referral via

Registered with MediRef? Send your patients data to us securely in one easy click.

Periodontist Preference *

First Available

Dr Rachel Garraway (Chermside)

Dr Richard Grant-Thomson (Chermside, Spring Hill)

Dr Peter Chen (Chermside)

Dr Amro Farag (Chermside, Spring Hill)

Upload X-Ray Image

Upload image file (Max 15MB)

Upload X-Ray PDF

Upload PDF file (Max 15MB)

Would you like us to contact the patient to schedule a consultation? *

Yes

Referring Dentist / Practitioner Details

Would you like a copy of this referral emailed to you? *

Yes

Have you referred to our practice before? *

Yes

Has the appointment already been arranged? *

Yes

How would you like the report sent back to you? *

Via Email

Via Post

Via MediRef

Please be patient while referral is submitted.

Implant & Perio Care | Call us to refer a patient

Have a question? Call or Email us today

Brisbane Implant Dentistry & Perio Care

800 Gympie Road

Chermside QLD 4032

Brisbane Implant Dentistry & Perio Care

Level 6, 200 Creek Street

Spring Hill QLD 4000

Phone:

Chermside - (07) 3350 4344

Spring Hill - (07) 2142 1774

Email:

admin@periocare.com.au

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