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Our team is taking a short break to recharge (just like your aligners need a snug fit!), but the office will stay open outside of public holidays with reduced staffing capacity. For emergencies, please contact us on 8364 4311 or your DM app. Wishing you and your family a safe, joyful Christmas and a brace-tastic New Year!

Dentist referral

A copy of the information completed below will be emailed to you as a record.

Straight Smile Centre welcomes patient referrals from dentists in Adelaide. If you would like to refer a patient to us for orthodontic treatment, please fill in the form below. We will ensure you are kept up-to-date and informed about any treatment plans.

 

Please fill in all fields marked with *

Patient's details

For any photos, xrays or additional information you wish to submit alongside this referral, please upload here.

Accepted file types: jpg, gif, png, pdf.


Dentist's details

By submitting this form, you are agreeing to our privacy policy.

Book your free consultation today

Your free consultation includes free records, x-rays and a digital smile simulation valued at $164.

By clicking ‘book now’ you are agreeing to our privacy policy.

Disclaimer: To be eligible for a free consultation, the patient must be above 18 y/o, without a dentist referral.