Refer a patientComplete Form Below APPOINTMENT:First available surgeonDr Michael BurgessDr Jonathon KeenanDr Joel TuckettUrgentRoutineREFERRAL REGARDING:Wisdom TeethDental ImplantsPathologyTMJ DysfunctionFacial PainOSAOrthognathic SurgeryFacial AssymetryDental ExtractionOther/Additional informationUpload files (up to 5MB)Choose FileNo file chosenDelete uploaded file Submit ReferralPlease do not fill in this field. Please note – if you have any issues with the online referral system please email contact@queenstreetspecialists.com.au or call our rooms on (07) 3063 7675 Or Download PDF Download referral form