Quick and easy way

Our online patient referral form is designed to be a quick and easy way for dentists to send patients to our clinic

Thank you for making the choice to send your patient to us, we do appreciate the ongoing support of our referring dentists.

We hope that you will find this form quick and easy to use, sometimes people prefer typing over writing out all the details.

The Look Orthodontics

If there is anything we can do to improve this experience for you just let us know.


If you are looking to be seen by one of our orthodontists please note that although we gladly accept referrals :

Contact us directly to arrange an appointment : Call (03) 9375 1600.

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