Dentists/
Doctors

Online Referral for Our Referrers

  • Thank you for the opportunity to assist with your patient’s care.
  • If you would like to speak with Dr. Oliver directly regarding any aspect of your patient’s management please feel free to call us on:

1300 162 932

Illawarra, 

South Coast, 

North Queensland

OR

(02) 9745 4066

info@iw-oms.net.au

Burwood

  • Please click the link below to open a blank referral form.
  • You are able to enter your practice details and then save the form to your system to have a pre-filled referral ready to use (call us for help to set this up).

Dentist/Doctors

To refer a patient to us please download the form or fill out the form below.
PRACTICES
DD slash MM slash YYYY
Reason For Referral
Drop files here or
Max. file size: 80 MB.

    Digital X-Rays

    • When forwarding digital x-rays please include the patient’s: 

           -- Name

           -- Date of Birth

           -- Exposure Date