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Treatments
Getting Started
Children’s orthodontics
Adult’s orthodontics
Invisalign
®
Invisalign
®
Invisalign SmileView
™
Simulator
Braces
Metal braces
Ceramic braces
Other Appliances
Patient Resources
Treatment Journey
Your First Visit
Your Treatment Journey
Video Guides
Discover iSmile
Braces
Invisalign
Orthodontic Insights
Information Sheets
Braces
Invisalign aligners
Clear retainers
Bonded Lingual Retainers
Rapid Maxillary Expander (RME)
Bite Jumper (CBJ/RME)
Twin Block Appliance
Payment Options
Payment Plans
Treatment Cost Calculator
Invisalign SmileView
Helpful Articles
What can you do about a crossbite?
How does a retainer work?
How effective are clear aligners?
What is orthodontics?
What you should know about Invisalign attachments
Why do you want straighter teeth?
Smile Library
Results
About Us
Contact
Book a consultation
REFERRAL
Refer a patient
Complete the form below for fast referral to our specialist orthodontists.
DENTIST DETAILS
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Email
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PATIENT DETAILS
Patient Details
First
Date of Birth
Address
(Required)
Email
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Patient Phone Number
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Reason for Referral
Including:
Crowding
Missing Teeth
Class II Skeletal Base
Space
Crossbites
Class III Skeletal Base
Large Overjet
Impact Teeth
Habits
Deep Bite
Invisalign
Early Ortho Assessment
Relevant medical and dental history
Radiographs
Radiographs
Max. file size: 128 MB.
Radiographs
OPG
Lat Ceph
Other
Please ensure patient has current OPG and lat ceph when they attend their initial ortho consult Thank you.
Patient is dentally fit and ready to commence orthodontic treatment
Patient is keen for orthodontic treatment
Patient is undecided about needing orthodontic treatment
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