Please fill in the Referrers form

Dear Doctor, please fill out the referral form and email us at

Please click to download the Referrers PDF

Please call us on 02 9526 2688
if you need to discuss your case with our specialist in advance.

Shire Periodontics and Implant Institute:
Level 5, Kingsway Specialist Medical Centre
531 - 533 The Kingsway
Miranda NSW 2228
(02) 9526 2688

Mon to Fri: 8:00am - 5:00pm