Our commitment is to complement your treatment, not replace it.

Download Referral Form
Contact Our Team

For Referrers

Australian Periodontal Group - A Specialist Practice Built Around Collaboration

Australian Periodontal Group ( Ausperio) exists to support you. We provide advanced periodontal and implant treatment, then return your patients to you for ongoing care — with detailed reports and clear communication at every stage.

What We Offer Referring Dentists

  • Specialist periodontal and implant assessment

  • Predictable surgical outcomes with a restorative focus

  • Detailed written reports following every appointment

  • Streamlined referral process — online forms available

  • Direct clinician-to-clinician communication when needed

Download Referral Form
Contact Our Team

Complete the form below to refer a patient. Alternatively, you may download a PDF referral form. For urgent referrals, contact our Melbourne CBD clinic directly on (03) 9650 4051.

Patient Details
Tooth Chart — Affected Teeth

Select all affected teeth. FDI (ISO 3950) notation.

Upper Jaw
upper · lower
Lower Jaw
Reason for Referral

Select all that apply.

Radiographs Available

Select all types being provided with this referral.

Referring Dentist
Your email client could not be opened. Please email your referral directly to Melbourne@ausperio.com.au or call (03) 9650 4051.

Clicking the button will open your email client with the referral pre-filled. Review and press Send to submit.

Referral received.
Your referral has been prepared and your email client should now be open with the details pre-filled.
Please press Send in your email app to complete the referral.
Our team will be in contact with your patient shortly, and a detailed report will follow each consultation.
Referral Summary
Patient—
Date of Birth—
Preferred Clinic—
Urgency—
Reason—
Referred by—
Australian Periodontal Group

Melbourne CBD  ·  (03) 9650 4051
Cranbourne  ·  (03) 9349 7612
Melbourne@ausperio.com.au

Contact Us

Prefer to speak with our team? Contact our clinics directly:

Melbourne CBD on (03) 9650 4051 or Cranbourne on (03) 9349 7612.