New Patient Online Referral

If you are a Clinician and would like to refer a patient to our clinic, please complete the details below. Alternatively click on the DOWNLOADS tab to download a hardcopy of the referral. We look forward to working with you!

Referrer Name*

Referrer Email:*

Referring Clinic*

Patient Name*

Patient (DOB):*

Parent Name:*

Parent Phone Number:*

Radiographs (type and date taken if any):*

Attach Files and Radiographs

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Thank you for your kind referral. We look forward to providing exceptional care for your patient.

Please forward any additional radiographs and information to our rooms via reception@chomperspaediatricdental.com.au or phone us on (07) 3568 4813.

Chompers Paediatric Dental

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Welcome to Dr Katie Horisk!

We are thrilled to introduce Dr Katie Horisk, a UK trained Paediatric Dental Specialist with extensive experience caring for infants, children, adolescents as well as patients with additional needs.

We are excited for local families to meet Dr Katie and are proud to have her expertise as part of the Chompers team.

Book NOW