Professional Referrals

Thank you for referring your patient to the Macquarie Street Centre for implant and aesthetic Dentistry. We value your referrals and endeavour to provide your patients with the highest standard of dentistry possible. We treat our referred patients in a multi-disciplinary approach and consider you an important member of the team. If you would like to refer a patient:

  • Referral pad: Click on the link to the left to print a referral form. Fill out your practice details if you would like to be sent referral pads, alternatively,
  • Online: Fill out the onlline referral form below. We will send a confirmation of receipt shortly.

Online Referral Form

Dr. David B Dunn

B.D.S. (HONS) F.R.A.C.D.S, FICD
SENIOR CLINICAL ASSOCIATE, UNIVERSITY OF SYDNEY
PIERRE FAUCHARD ACADEMY

Patient Details
Name*
Address
DOB
Tel
Referring Clinician
Doctor*
Address
Tel
E-mail*
Treatment Required
Aesthetic Dentistry
Full Mouth Rehabilitation
Implant Surgery
Implant Prosthetics
Orofacial Pain
Sleep Apnoea
Tooth Wear/Bruxism
Other
Referral Notes