Suite 2, Victoria House, 734 Albany Highway East Victoria Park, WA 6101
1300 108 133 [email protected]
2915 Albany Highway, Kelmscott, WA 6111
1300 108 133
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Name *
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Return to referring dentist for implant restoration?—Please choose an option—YesNo
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Reason for Referral Wisdom teethSurgical extractionSingle implantMultiple implantsImplant-retained dentureAll-On-4® / Full archBone graftingSinus AugmentationPeriodontal plastic surgery / Connective tissue graftingTreatment under local anaesthesiaTreatment under IV sedationTreatment under general anaesthesiaAnxious/Phobic patient
Preferred location—Please choose an option—KelmscottEast Victoria Park
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