Dentist referral

A copy of the information completed below will be emailed to you as a record.

Class 1 Orthodontics welcomes patient referrals from dentists. If you would like to refer a patient to us for orthodontic treatment, please fill in the form below. We will ensure you are kept up-to-date and informed about any treatment plans.

 

Please fill in all fields marked with *

Dentist's details

Patient's details

Accepted file types: jpg, gif, png, pdf (up to 5 files only; max file size 10MB)

By submitting this form, you are agreeing to our privacy policy.

Invisalign

The Invisible Orthodontist

Invisalign first

Dental Monitoring

Acceledent

Class 1 Orthodontics

42/44 Parliament Place
West Perth
Western Australia
6005

Directions & Opening times

Canning Vale

263 Boardman Road
Canning Vale
Western Australia
6155

Directions & Opening times

Rockingham

Unit 4/14 Livingstone Road
Rockingham
Western Australia
6168

Directions & Opening times

Baldivis

60a Clyde Ave,
Baldivis
Western Australia
6171

Directions & Opening times

Kalgoorlie

96 Egan St,
Kalgoorlie
Western Australia
6430

Directions & Opening times

West Busselton

254 Bussell Highway
West Busselton
Western Australia
6280

Directions & Opening times

Cockburn

12E (upstairs) / 817 Beeliar Drive
Cockburn Central
Western Australia
6164

Directions & Opening times