Referral for treatment


Criteria for referral is based on parameters related to case severity and complexity.

Case severity is based upon clinical and radiographic parameters and/or the PSR. Complexity is reflected by parameters such as type of periodontal disease, medical status and history, and patient management issues.


Examples of candidates for referral include those with:

  • Chronic periodontitis with moderate to advanced loss of support

  • Aggressive forms of periodontal disease

  • Periodontal disease associated with systemic conditions

  • Mucogingival conditions

  • Refractory disease

  • A need for conscious sedation.

To make a referral please fill in the below form or call us on 09 524-2855.

Patient Referral Form

Patient's Name *
Patient's Name


All information supplied remains confidential.