Dental Referral – Stretton Dental Specialists

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Dental Referral

STRETTON DENTAL SPECIALISTS

2C, 528 Compton Road, Stretton QLD 4116 | 1300 051 702 | stretton@dental-specialists.com.au | dental-specialists.com.au

Our Team

A. Prof Ghassan Idris - Orthodontist

Dr Bilal El Masoud - Prosthodontist

Dr Rashied Omer - Paedodontist

Dr Yasmen Alfaisal - Special interest: Endodontics

Dr Mahmoud Bakr - Special interest: Temporomandibular disorders

Dr Amro Farag - Periodontist

Patient Details

Name

Date of Birth

Phone

Clinical Concern / Reason for Referral

Orthodontics

Periodontics

Paediatric Dentistry

Prosthodontics

Endodontics

TMD

Sleep / Airway

Other (Please Specify)

Brief clinical information / objectives:

Radiographs / Records

Emailed

With Patient

To be taken at SDS

Medical history attached

Referring Practitioner

Name

Referral Date

Practice

Phone

Additional notes / requests:

2C, 528 Compton Road, Stretton QLD 4116 | 1300 051 702 | stretton@dental-specialists.com.au | dental-specialists.com.au

Download the Form

You can download a PDF copy of the form to fill out and send by email if preferred.
Please email completed forms stretton@dental-specialists.com.au.

👉 Click here to download

Call Us Today

1300 051 702

Send a message

stretton@dental-specialists.com.au

Opening Hours

Monday – Saturday: 8:00am – 6:00pm

Our Clinic

Brisbane, 2C, 528 Compton Rd, Stretton QLD 4116

At Stretton Dental Specialists, we work together across different dental specialties to give patients complete care in one place..

Contact info:

1300 051 702

Stretton@dental-specialists.com.au

Monday – Saturday: 8:00am – 6:00pm

2c,528 Compton Rd, Stretton QLD 4116 Australia