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(07) 5527 8858
Home
Refer a Patient
Ask a Question
Feedback
Resources
Update Details
(07) 5527 8858
Step 1. Add Referral
Title
First Name
Last Name
Date of Birth
Address
Suburb
State
Postcode
Phone
Alternate Phone
Urgent Treatment
Veterans Affairs
Work Cover Claim
Reason for Referral
Please indicate the required X-ray to be taken at Gold Coast Oral Maxillofacial and Implant Sugery. These X-rays can only be taken at our Benowa Rooms.
OPG
Cone Beam / 3D Scan
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