This enquiry form is for organisations or providers who would like to refer a patient to Sydney Dental Hospital and Oral Health Services.

Do not use this form for routine dental check-ups. For routine dental check-ups please call 02 9293 3333.

Please fill out your details and include information about the nature of the referral in the enquiry box.

Once received, your enquiry will be forwarded on to the relevant person within Sydney Dental Hospital and Oral Health Service for them to respond to your request.

Patients with dental trauma or injury, or with suspected symptoms of dental origin that may include; swelling of the face or neck; swelling in the mouth; significant bleeding from the mouth; difficulty opening jaw and/or swallowing are identified as (Code 1) emergency patients and will be seen within 24 hours upon contacting COHIIS on 9293 3333. Please note that dental pain is not classified as an emergency.