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Windsor Dentists Logo
222 Lutwyche Road | Windsor | North Brisbane
Windsor Dentists Logo

Open 6 Days, Evening & Weekend Appointments Available
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07 3357 4177
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Opening Hours

  • Easter Holiday Closure
  • HOME
  • ABOUT US
    • Get to Know Us
    • Why Choose Us?
    • Why Are We Different?
    • Your Dental Team
  • OUR PROCEDURES
    • General
      • Regular Dental Checkups
      • Dental Emergencies
      • Scale and Clean
      • Root Canal Therapy
      • Tooth Extraction
      • Wisdom Teeth Removal
      • Gum Disease Treatments
      • Fissure Sealants
      • Porcelain Crowns
      • Dentures
      • Grinding or Clenching | Protective Guards
      • Zirconia Crowns
      • Dietary Advice
      • Personalised Oral Hygiene Advice

      • View Before & Afters

        before and after
    • Cosmetic
      • Tooth Whitening | Boost & Zoom Whitening
      • Dental Bonding
      • Amalgam Removal & Replacement
      • Invisalign
      • Veneers
      • White Porcelain Fillings
      • Bioclear – Black Triangle and Gappy Smile Closure
      • Enamel Microabrasion | Remove Tooth Discolouration
      • Dental Implants
        • Single Teeth Replaced with Implants
        • Multiple Teeth Replaced with Implants
      • Implant Bone Grafting
      • Mini Dental Implants
    • Advance Services
      • Tooth Wear Treatment & Reconstruction
      • Sedation and Penthrox Gas for Anxious Patients
      • Oral Cancer Screening
      • Saliva & Oral pH Testing
      • TMD and Bruxism Relief | NTI Splints
      • Bioclear
      • SomnoDent Sleep Apnea Appliance
      • Anti Snore and Sleep Apnoea Devices
      • Digital Xrays and Imaging
  • DENTAL CONCERN
    • Need a checkup or after some dental advice?
    • Unhappy about your dentures?
    • Anxious or worried seeing the dentist?
    • Failing dentistry or constantly breaking teeth?
    • Have sore or sensitive teeth?
    • Concerned about bleeding or sore gums?
    • Looking for the best type of crown
  • BLACK TRIANGLES CLINIC | BIOCLEAR
  • FORMS & PATIENT INFO SHEETS
    • Online Medical History
    • Patient Forms
    • Dental Information Sheets
      • Dental Information Sheets
      • Common Dental Conditions
      • Information Regarding Your Procedure
      • Post Operative Care Instructions
  • FEES & PAYMENT OPTIONS
    • Payment Options
    • Payment Plans
    • New Patient Fees
    • Health Funds
    • Child Dental Benefits Schedule
    • Department of Veterans’ Affairs
  • BOOK ONLINE
  • CONTACT US
    • Enquiries & Contact Details
    • Getting to Us
  • Easter Holiday Closure
  • HOME
  • ABOUT US
    • Get to Know Us
    • Why Choose Us?
    • Why Are We Different?
    • Your Dental Team
  • OUR PROCEDURES
    • General
      • Regular Dental Checkups
      • Dental Emergencies
      • Scale and Clean
      • Root Canal Therapy
      • Tooth Extraction
      • Wisdom Teeth Removal
      • Gum Disease Treatments
      • Fissure Sealants
      • Porcelain Crowns
      • Dentures
      • Grinding or Clenching | Protective Guards
      • Zirconia Crowns
      • Dietary Advice
      • Personalised Oral Hygiene Advice

      • View Before & Afters

        before and after
    • Cosmetic
      • Tooth Whitening | Boost & Zoom Whitening
      • Dental Bonding
      • Amalgam Removal & Replacement
      • Invisalign
      • Veneers
      • White Porcelain Fillings
      • Bioclear – Black Triangle and Gappy Smile Closure
      • Enamel Microabrasion | Remove Tooth Discolouration
      • Dental Implants
        • Single Teeth Replaced with Implants
        • Multiple Teeth Replaced with Implants
      • Implant Bone Grafting
      • Mini Dental Implants
    • Advance Services
      • Tooth Wear Treatment & Reconstruction
      • Sedation and Penthrox Gas for Anxious Patients
      • Oral Cancer Screening
      • Saliva & Oral pH Testing
      • TMD and Bruxism Relief | NTI Splints
      • Bioclear
      • SomnoDent Sleep Apnea Appliance
      • Anti Snore and Sleep Apnoea Devices
      • Digital Xrays and Imaging
  • DENTAL CONCERN
    • Need a checkup or after some dental advice?
    • Unhappy about your dentures?
    • Anxious or worried seeing the dentist?
    • Failing dentistry or constantly breaking teeth?
    • Have sore or sensitive teeth?
    • Concerned about bleeding or sore gums?
    • Looking for the best type of crown
  • BLACK TRIANGLES CLINIC | BIOCLEAR
  • FORMS & PATIENT INFO SHEETS
    • Online Medical History
    • Patient Forms
    • Dental Information Sheets
      • Dental Information Sheets
      • Common Dental Conditions
      • Information Regarding Your Procedure
      • Post Operative Care Instructions
  • FEES & PAYMENT OPTIONS
    • Payment Options
    • Payment Plans
    • New Patient Fees
    • Health Funds
    • Child Dental Benefits Schedule
    • Department of Veterans’ Affairs
  • BOOK ONLINE
  • CONTACT US
    • Enquiries & Contact Details
    • Getting to Us

Implant Referral

Home/Implant Referral
Implant ReferralWindsor Dentists2023-06-14T08:22:43+10:00

Implant Referral

Please fill these details out to refer your patients for implant placement. A PDF copy of your referral will be automatically sent to you for your records upon submission.

Referral Patient Details

Patient's Name
DD slash MM slash YYYY
Placement Only or Placement and Prosthetics(Required)
e.g. 43, 33 and 16
e.g. 45 Implant retained crown, 16-14 implant supported bridge, implant retained overdenture, etc...
Has the patient had an OPG, CBCT or CT Dentascan taken?(Required)
Select Type of Imaging Already Taken(Required)
Accepted file types: jpg, png, bmp, jpeg, pdf, Max. file size: 50 MB.
Upload the patient's OPG
3D Imaging Option (CBCT or CT Dentascan)
Please ensure all records are encrypted with a password prior to uploading to 3rd party cloud storage. Please provide a download link to the imaging DICOM files.

Referral Doctor Details

Doctor's Name(Required)
Would you like to be contacted regarding this case?(Required)

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How can we help you?

  • Need a checkup or after some dental advice?
  • Want to improve your smile?
  • Unhappy about your dentures?
  • Anxious or worried seeing the dentist?
  • Failing dentistry or constantly breaking teeth?
  • Have sore or sensitive teeth?
  • Concerned about bleeding or sore gums?
  • Do you have jaw, headaches or neck pain?
  • Want more info on replacing missing teeth with dental implants?
  • Want more info on straightening your teeth
  • Want to know more about Invisalign (braces without wires)?
  • Looking for a practice that is great with kids?