Since all patients are different, an initial examination must be completed by your Dental Specialist to determine the complexity of the problem. Make a Referral Referral Form Name * Date * Date of Birth * Referral Contact No * Address * Reason For Referral * Select OnePeriodontal ManagementExposure of Indicated ToothOsseointegrated ImplantGuided Tissue RegenerationCrown LengtheningMucogingival ManagementSoft Tissue PathologyApicoectomyRCTEndodontic retreatmentEndodontic complicationsOther Reason Specialist to refer to * Dr Leo Lander - Periodontist and Implant SurgeonDr Deon Naicker - Endodontist (Root Canal Specialists) Message * Referrer Dr. * Clinic * Contact No * Submit Download Referral Form