For Practitioners

Specialist Referrals

Thank you for trusting your young patients to our care. We'll ensure they receive tailored specialist treatment and keep you updated throughout their journey.

⏳ Timely Appointments 📩 Paperless Reports

Working Together

How Our Referral Process Works

We make referring patients simple, fast and fully digital. Our team works closely with referring practitioners to ensure seamless care for every child.

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Complete the Form

Fill in the digital referral form below with patient details, reason for referral and any relevant history.

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Attach Radiographs

Upload any existing radiographs or images directly with the form (JPG, PNG, PDF — up to 5 files).

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We Contact the Family

Our team contacts the family promptly to schedule the most appropriate appointment for their child's needs.

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Reports Back to You

After the appointment, we email a comprehensive patient report directly to your practice. Fully paperless.

🚨 Emergency Referral?

For urgent situations — dental trauma, acute facial swellings, or emergency extractions — contact us directly for immediate assistance.

📞 07 3495 0250

We welcome referrals from:

General Dentists Paediatricians GPs ENT Surgeons Speech Pathologists Allied Health

Records & Paperless

NLPD would like to do its part in making Australia “greener” by going paperless. We recommend and appreciate electronic correspondence. We will email all our patient reports back to your practice email.

Request a Referral Pad →

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07 3495 0250Call us directly

✉️

info@nlpd.com.auEmail referrals

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Mon–Fri: 8:30am–4:30pmClinic hours

Digital Referral

Submit a Specialist Referral

Complete the form below and attach any relevant radiographs or clinical images. Our team will contact the family promptly to arrange an appointment.

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Patient Details

Patient Name *

Date of Birth *

Gender *

Patient Phone

Patient Mobile *

Patient Email *

Address

Medical History

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Referral Details

Referral Details *

Reason for Referral * (select all that apply)

Dental Caries Behaviour Management Acute Dental Infection Oral Surgery Dental Anomalies Medically Compromised / Special Needs Growth and Development Trauma

Radiographs Taken & Emailed? *

Radiographs / Images (up to 5 files — PDF, JPG, PNG)

📄 Click to upload files or drag and drop PDF, JPG, PNG — up to 5 files, 5MB each

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Referrer Details

Your Name *

Phone *

Practice Name *

Practice Email

Ready to Refer Your Patient?

Please do not hesitate to call us if you have any questions on:

📋 Submit a Referral 📞 Call (07) 3495 0250.