WISDOM TEETH DENTIST REFERRAL

Dr Alan Quan provides wisdom tooth removal services to surrounding dental practices. Dr Quan has extensive experience with removal of impacted wisdom teeth in a private dental surgery setting without the complexity or cost of private hospital treatment. Utmost importance is placed on patient comfort and outcomes, and ongoing post-treatment care is provided. Reports to referring dentists will provide full documentation of medications and procedures, consent and recommendations for ongoing care. Please use the form below to make your referral.

Dentist Referral Form

Dental Practice

Dental Practice Email Address

Referring Dentist

Patient Name

Patient Email Address

Patient Date of Birth

Patient Phone Number

Radiographs available?

Radiographs available via:

Other information

9 + 1 =

Book now or call us on (08)6192 1036 !