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(02) 8093 2680
reception@precisionperiodontics.com.au
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About Us
Services
Management of Periodontal Disease
Dental Implant Placement
Periodontal Regeneration
Crown Lengthening
Hard Tissue Augmentation and Soft Tissue Augmentation
Sinus Augmentation
Unerupted Teeth Exposure
Peri-Implant Disease Management
Gum Recession Treatment
Cone Beam Computed Tomography (CBCT)
Twilight Sedation
First Visit
Contact Us
Home
About Us
Services
Management of Periodontal Disease
Dental Implant Placement
Periodontal Regeneration
Crown Lengthening
Hard Tissue Augmentation and Soft Tissue Augmentation
Sinus Augmentation
Unerupted Teeth Exposure
Peri-Implant Disease Management
Gum Recession Treatment
Cone Beam Computed Tomography (CBCT)
Twilight Sedation
First Visit
Contact Us
Refer a Patient
Home
About Us
Services
Management of Periodontal Disease
Dental Implant Placement
Periodontal Regeneration
Crown Lengthening
Hard Tissue Augmentation and Soft Tissue Augmentation
Sinus Augmentation
Unerupted Teeth Exposure
Peri-Implant Disease Management
Gum Recession Treatment
Cone Beam Computed Tomography (CBCT)
Twilight Sedation
First Visit
Contact Us
Home
About Us
Services
Management of Periodontal Disease
Dental Implant Placement
Periodontal Regeneration
Crown Lengthening
Hard Tissue Augmentation and Soft Tissue Augmentation
Sinus Augmentation
Unerupted Teeth Exposure
Peri-Implant Disease Management
Gum Recession Treatment
Cone Beam Computed Tomography (CBCT)
Twilight Sedation
First Visit
Contact Us
Refer a Patient
Referring Dentists
Name
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Select Your Specialist
Select the doctor below:
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Dr Ehsan Mellati
Dr Wesley Wong
Dr Max Fertman
Dr Wisam Kamil
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Last
Patient's Date of Birth
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Patient's Email
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Radiographs enclosed?
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Reason for referral
(Required)
Consultation/2nd Opinion
Management of periodontal disease
Implant placement
Management of mucogingival problem
Crown lengthening
Soft/hard tissue augmentation
Sinus augmentation
Exposure of unerupted tooth
Management of peri-implant disease
Other (please specify)
Would you like to be involved in periodontal maintenance of your patient?
Yes
No
Will you restore the implant?
Yes
No
Notes
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Referral Details
Referring Doctor's Full Name
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Mobile
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Email
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Contact Details
(02) 8093 2680
Email Us
Level 3, Suite 301, 10 Help Street Chatswood NSW 2067
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