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Dentist referrals

We welcome referrals from Dental professionals in and around the Auckland region. We thank you for trusting us with your valued patients. Please complete the form below and we will be in touch with your Patient as soon as we can. We will also ensure you are kept up to date and informed about any treatment plans that are proposed.

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Dentist's details

Patient's details

For any photos, xrays, or additional information you wish to submit alongside this referral, please upload here.

Accepted file types: jpg, gif, png, pdf (up to 5 files only; max file size 10MB)

By completing this form, you are agreeing to our privacy policy.

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