Dentist referral

At Clear Smiles Orthodontics, we’re committed to creating beautiful smiles for patients of all ages here on the Gold Coast. But we know we can’t achieve this goal alone. That’s why we like to work with fellow dental professionals to ensure your patients can benefit from the highest level of orthodontic treatment should they need it.

If you would like to refer a patient to us for orthodontic treatment, please complete the form below. We’ll then be in touch with them to arrange an appointment and keep you informed of their treatment progress every step of the way.

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Dentist information

Patient information

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