Refer a patient - Oromax NSW

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This field is for validation purposes and should be left unchanged.

Your name(Required)

Practice name(Required)

Practice phone(Required)

Provider number(Required)

Patient's full name(Required)

Patient mobile(Required)

Patient email

What suits the patient. We confirm the time with them directly.

Teeth and clinical details(Required)

For example: 38 and 48, mesioangular, close to the IAN canal on OPG.

Relevant medical history and medications

Especially anticoagulants, bisphosphonates or denosumab, and diabetes.

Attach referral letter, radiographs or photos

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 10 MB, Max. files: 5.

Up to 5 files, 10 MB each (PDF, JPG, PNG or Word).