Refer a patient for periodontics or dental implant treatment

Refer Patient

Periodontal Patient Referrals

If you would like to refer a patient for treatment with Pacific Periodontics & Implants, or pass on information regarding a specific case, please complete the form below. One of our friendly team members will attend to your referral as soon as possible.

Want to know more about our gum disease treatments? Or why maintaining healthy gums is so important? Download our FREE guide here!

Your Guide to Gum Disease

Download The Guide

Want to know more about our gum disease treatments? Or why maintaining healthy gums is so important? Download our FREE guide here!

Your Guide to Gum Disease


                <div class='gf_browser_gecko gform_wrapper contact-forms_wrapper gplaceholder_wrapper' id='gform_wrapper_11' ><a id='gf_11' class='gform_anchor' ></a><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_11' id='gform_11' class='contact-forms gplaceholder' action='/refer-patient/#gf_11'>
                        <div class='gform_body'><ul id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below'><li id='field_11_10' class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_11_10' >Your Name<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_11_10' type='text' value='' class='large'  tabindex='50'  placeholder='Your Name *' aria-required="true" aria-invalid="false" /></div></li><li id='field_11_3' class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_11_3' >Your Email<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_email'>
                            <input name='input_3' id='input_11_3' type='text' value='' class='large' tabindex='51'   placeholder='Your Email *' aria-required="true" aria-invalid="false"/>
                        </div></li><li id='field_11_17' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_17' id='input_11_17' type='hidden' class='gform_hidden'  aria-invalid="false" value='1245' /></li><li id='field_11_15' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_15' id='input_11_15' type='hidden' class='gform_hidden'  aria-invalid="false" value='Gum Disease Guide' /></li><li id='field_11_16' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_16' id='input_11_16' type='hidden' class='gform_hidden'  aria-invalid="false" value='' /></li><li id='field_11_18' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_18' id='input_11_18' type='hidden' class='gform_hidden'  aria-invalid="false" value='' /></li><li id='field_11_20' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_20' id='input_11_20' type='hidden' class='gform_hidden'  aria-invalid="false" value='' /></li><li id='field_11_21' class='gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_21' >Email</label><div class='ginput_container'><input name='input_21' id='input_11_21' type='text' value='' /></div><div class='gfield_description'>This field is for validation purposes and should be left unchanged.</div></li>
                            </ul></div>
        <div class='gform_footer top_label'> 
		<div class="section-button">
	        <button type="submit" id="gform_submit_button_11" class="btn btn-primary">
		        Download now
			</button>
		</div>
     <input type='hidden' name='gform_ajax' value='form_id=11&amp;title=&amp;description=&amp;tabindex=50' />
            <input type='hidden' class='gform_hidden' name='is_submit_11' value='1' />
            <input type='hidden' class='gform_hidden' name='gform_submit' value='11' />
            
            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' />
            <input type='hidden' class='gform_hidden' name='state_11' value='WyJbXSIsImU0MWFmM2RmNDIwMmQ2NmYxOWE4ZDM2OTQyNmY4ZGY0Il0=' />
            <input type='hidden' class='gform_hidden' name='gform_target_page_number_11' id='gform_target_page_number_11' value='0' />
            <input type='hidden' class='gform_hidden' name='gform_source_page_number_11' id='gform_source_page_number_11' value='1' />
            <input type='hidden' name='gform_field_values' value='ebook_id=1245&amp;ebook_active_campaign_tag=Gum+Disease+Guide' />
            
        </div>
                        </form>
                        </div>
                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_11' id='gform_ajax_frame_11'>This iframe contains the logic required to handle Ajax powered Gravity Forms.</iframe>
                <script type='text/javascript'>jQuery(document).ready(function($){gformInitSpinner( 11, 'https://pacificperio.com.au/wp-content/plugins/gravityforms/images/spinner.gif' );jQuery('#gform_ajax_frame_11').load( function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_11');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_11').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;if(is_form){jQuery('#gform_wrapper_11').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_11').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_11').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_11').offset().top); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_11').val();gformInitSpinner( 11, 'https://pacificperio.com.au/wp-content/plugins/gravityforms/images/spinner.gif' );jQuery(document).trigger('gform_page_loaded', [11, current_page]);window['gf_submitting_11'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_11').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_11').offset().top);jQuery(document).trigger('gform_confirmation_loaded', [11]);window['gf_submitting_11'] = false;}, 50);}else{jQuery('#gform_11').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [11, current_page]);} );} );</script>

In best interests of patients, staff and families we have ceased regular care.

We will contact all patients with upcoming appointments to reschedule.

Fortunately periodontal & implants emergencies are rare. For advice please contact:

Dr. Adrian Hoffman on 0417102710 / adrian@pacificperio.com.au

TEMPORARY CLOSURE

Refer a patient for periodontics or dental implant treatment

Refer Patient

Periodontal Patient Referrals

Patient details

Referring doctor details

Treatment Details

Attach your patient xrays, images, and reference material files here

Ask a question or request a consultation

or call us today on
07 5559 5911

Head Office: Tugun, Gold Coast

Closed Weekends and Public Holidays

Ballina, NSW

Head Office: Tugun, Gold Coast

Ballina, NSW

Head Office: Tugun, Gold Coast

Closed Weekends and Public Holidays

Ballina, NSW

By appointment only. Please contact us for details.

Refer a patient for periodontics or dental implant treatment

Refer Patient

Periodontal Patient Referrals

Patient details

Referring doctor details

Treatment Details

Attach your patient xrays, images, and reference material files here

Ask a question or request a consultation

or call us today on 07 5559 5911

Head Office: Tugun, Gold Coast

Closed Weekends and Public Holidays

Ballina, NSW

or call us today on
07 5559 5911