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Referral Form


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Download our PDF referral form: Pdf Download

Thanks you for choosing to refer your young patient to Sunshine Coast Paediatric Dentistry.

Dr Nymphia and her staff aim to work along with you to provide quality specialist dental care for children in the Sunshine Coast area.

We make every effort to ensure that appointments are available within a suitable timeframe to enable treatment to suit the child’s individual needs. All emergencies such as dental trauma or facial swellings are top priority.

In case of emergencies, please call us on (07) 5370 8079.

For other referrals, we recommend you ask parents to contact us for an appointment. Referrals can be sent by the following simple options:

  1. Complete the PDF referral form and submit online. Or you could fax, scan and email or post it.
  2. Complete a referral pad form and fax, post it or send it with your patient.

If you would like a referral pad sent to you, please contact us.

We are always grateful for any previous records including any previous radiographs of your patient. Please send them with your patient and we will return them to you as soon as possible.

Sunshine Coast Paediatric Dentistry would like to do its part in making Australia “greener” by gradually going paperless. We recommend electronic correspondence and we will email all our patient reports back to your practice email. Please indicate if you would like a paper copy report.

We welcome all referrals from general medical practitioners, paediatricians, ENT surgeons, speech pathologists and other allied health professionals.

Just as good oral health is vital to general health and wellbeing poor oral health in causes pain, irritability, infections, poor sleep patterns, restlessness and poor nutrition. In children and young babies early signs of dental decay can be easily identified as dental decay usually starts in the enamel (outer surface) of the top front teeth

All health practitioners are encouraged to perform an early “lift the lip” screening in children (age 5 months to 6 years) for early childhood tooth decay, which involves simply lifting the top lip and checking the outer surfaces of the top front teeth.

We provide comprehensive dental treatment for infants, children and adolescents, including those with complex medical histories and special needs affected by dental decay. Additionally, we are also able to provide surgical treatment for lingual ankyloglossia (tongue tie release) in newborns with feeding concerns or in children with speech or functional problems.

Please contact us on (07) 5370 8079 if you would like to refer a newborn or infant with ankyloglossia or discuss any immediate concerns to ensure timely management.

For all other referrals,please advise parents to contact our office for an appointment.