Patient Referrals

We invite you to use our online patient referral form.

Please note, this form should be used by referring medical practitioners only.

  • Patient details

  • Doctor details

  • Treatment Details

  • Attach your patient xrays, images, and reference material files here

  • Accepted file types: jpg, gif, png, pdf, doc, docx.
  • Accepted file types: jpg, gif, png, pdf, doc, docx.
  • Accepted file types: jpg, gif, png, pdf, doc, docx.
  • Accepted file types: jpg, gif, png, pdf, doc, docx.
  • Accepted file types: jpg, gif, png, pdf, doc, docx.
  • Accepted file types: jpg, gif, png, pdf, doc, docx.
  • This field is for validation purposes and should be left unchanged.

Make an Enquiry

  • Phone (07) 4051 4580
  • Fax (07) 4031 5226
  • Email info@futuredental.com.au japanese@futuredental.com.au
  • Address Ground Floor "Accent on McLeod"
    93-95 McLeod St

    Cairns QLD 4870
  • Hours
    Monday7:00am - 5:00pm
    Tuesday7:00am - 5:00pm
    Wednesday7:00am - 5:00pm
    Thursday7:00am - 5:00pm
    Friday7:00am - 5:00pm
Ask Dr Tony Nguyen
Every Tuesday from 1pm, Dr Tony Nguyen will be available to provide complimentary professional advice and answer any of your oral health questions or concerns. Bookings are essential and advance notice is required of you cannot attend your appointment. Any proceeding treatment will incur a fee.