New Patients
Treatments
Examinations
ACC
Kids New Patient Examination
Kids Recall Examination
Kids with Special Needs
Secondary School Students
General Treatments
Caries Prevention
Tooth Fillings
Fissure Sealants
Kids Crowns
Pulpotomy
Sports Mouthguards
Tooth Extraction
Wand Anesthesia
Specialised Treatments
General Anesthesia
Hypomineralised Teeth Management
Kids with Special Needs
Nitrous Oxide Sedation
Orthodontics
Trauma Management
About
About
Our Values
Our People
FAQ’s
Covid Policy
Missed Appointment Policy
Pricing
Contact Us
Contact
Smales Farm
Eastridge
Book now
New Patients
Treatments
About
Pricing
Contact Us
Make an appointment
Back
Examinations
General Treatments
Specialised Treatments
Back
About
Our Values
People
FAQ’s
Covid Policy
Missed Appointment Policy
Back
Contact Us
Eastridge
Smales Farm
Referral
REFERRING PRACTITIONER DETAILS
Type
—Please choose an option—
Dental Therapist
Dentist
Orthodontist
Other
PATIENT / GUARDIAN DETAILS
REASON FOR REFERRAL
Examination
Behaviour Management
Treatment under General Anesthesia
Treatment under Nitrous Oxide Sedation
Caries/Abscess
Trauma Management
Mineralization Defects
Surgical Management
Oral Pathology
MEDICAL AND DENTAL HISTORY
ACC DETAILS (IF APPLICABLE)
Radiographs Taken
LOCATION
Select Location
—Please choose an option—
Smales Farm
Eastridge
