Dental Health Services Victoria

Oral health professionals who wish to refer a patient to a specialist service within The Royal Dental Hospital of Melbourne must complete the relevant referral form and submit it to:

Admissions Officer
The Royal Dental Hospital of Melbourne
PO Box 1273L
MELBOURNE VIC 3001
Fax: (03) 9341 1232

Referral forms

• Specialist Services referral form (PDF, 49KB)
• Orthodontic Services referral form (PDF, 45KB)

Please refer to section 1.7 of the Referral of Patients to Specialist Services Procedure [PR-A035-04] for detailed information and for information regarding urgent referrals. This document can be obtained by contacting clerical staff on the numbers provided below or the Admissions Office on (03) 9341 1000.

To view a summary of the referral criteria, please click here.

Specialist services contact information

A clerical officer on the numbers below will assist referring practitioners with enquiries or direct them forward to the specialist as required.

Summary of referral criteria

The following requirements must be fulfilled when making a referral.

• Patient Eligibility: The patient must satisfy eligibility criteria for public oral health services.
   
• Patient Consent: The decision to refer must be agreed to by the patient or if under 18, by the parent or legal guardian.
   
• Fees: All patients should understand that fees will be charged for all appointments, including screening visits that may or may not lead to treatment.
   
• Continuity of Care: The referring clinician or clinic must have accepted ongoing responsibility for the patient’s general dental management and continuity of care.
   
• Specific Need Identified: Referrals should be part of a treatment plan and be a specific request for a type of specialist service.
   
• Referral Form: Referral is to be made on the Specialist Services Referral Form (Attachment 2 in above procedure)
   
• Specialist Unit Referral Criteria Satisfied: The patient satisfies the stipulated referral criteria for that specialty.
   
• Relevant Information and Diagnostic Tests Provided: Additional information requirements are stipulated in the specialist unit referral criteria and must accompany the referral.

Please refer to section 1.7 of the Referral of Patients to Specialist Services Procedure [PR-A035-04] for detailed information and for information regarding urgent referrals. This document can be obtained by contacting clerical staff on the numbers provided below or the Admissions Office on (03) 9341 1000.

More information

For further information, please contact the Admissions Office at The Royal Dental Hospital of Melbourne on (03) 9341 1000.