Back to About Us

Referring Dentist

We strive to treat referred patients as our own. With respect, high quality treatment and clear communication to the patient and referring dentist.

For a General Enquiry:

Email:

info@adicentre.com.au

Phone:

(08) 8269 3311
dental instruments

Referral Form

Download PDF Form Here

[]
1 Step 1
Referral To:

Patient Information:

Radiographs:

If you have Radiographs currently available, please upload them below:

keyboard_arrow_leftPrevious
Nextkeyboard_arrow_right
FormCraft - WordPress form builder

Fun Fact:

For our young patients (12 - 17 yoa), we are currently offering Preventive Services for just the Rebate from your Private Health Fund or Medicare.