WE HAVE MOVED TO 64 ANDERSON STREET CAIRNS
We have changed our name to CAIRNS SPECIALIST DENTAL
Our phone numbers and email remain the same for the time being so you can still use this website to contact us.

(07) 4054 4488 info@cairnsperiodontics.com.au

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Referral Form

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Refer to Us
Referral Form

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Please use our online referral form below, or you can download and print out our hard copy referral form and fax back to us on (07) 4054 4480.

* Mandatory fields

Referring to:*

Dr Brian E JamesDr Behrooz Eftekhar

Procedure(s) required

PeriodonticsImplantRoot Canal TherapyHygienist

Patient Name*

Patient D.O.B*

Patient Phone*

Patient Address*

Patient Email*

Referral Details*

Dental Practice referred from*

Dental Practice phone number*

Patient Referrer (GD)*

We take great pride in the care we provide to you, our patient. Ensuring your peace of mind while professionally answering all your questions.

Easy Payment Plans for your procedure available through MediPay. Click here or call 1800 810 950. Australian Credit Licence 474336

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Upstairs, Trinity Hyundai Building
Private Parking 108 Ishmael Rd
449-455 Mulgrave Rd,
Cairns City QLD 4870

Upstairs, Trinity Hyundai Building
Private Parking 108 Ishmael Rd
449-455 Mulgrave Rd,
Cairns City QLD 4870
info@cairnsperiodontics.com.au

info@cairnsperiodontics.com.au
(07) 4054 4488

(07) 4054 4488

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We are always happy to answer any questions, please feel free to call us, pop into our practice or contact us via the form below.

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