© 2019 by Dr Gary Verdickt, Endodontist.

REFERRAL FORM

Our Receptionists will phone your Practice to obtain the patient's surname, address and contact phone number.  Why do we do this?  To comply with the Privacy Act.

Want to send a radiograph?

Email to admin@gvendo.com, or

Photograph and send to 0499 024 080.

Please include the patient's name and D.O.B in your email or text.