Special Needs Adult Online referral

Thank you for choosing to trust Lucas Dental Care with your patient. The details you provide will be sent to us securely through our website.

i.e. carer/sibling/carer
List medical diagnosis and medications
Click or drag files to this area to upload. You can upload up to 6 files.
The following should be uploaded to support your referral: dental history notes and radiographs (with dates), summary of current and past medical conditions, current medication list, relevant specialist reports
Please provide as much detail as possible regarding your referral

**On submission of this form, please wait to see the confirmation screen. If there is no confirmation we have not received the referral.**

GLEN IRIS OPENING HOURS

Call: (03) 9824 7614

Monday:8.30am – 5.30pm
Tuesday:8:30am – 5:30pm
Wednesday:8:30am – 5:30pm
Thursday8.30am – 5.30pm
Friday:8.30am – 5.30pm
Saturday:CLOSED
Sunday:CLOSED

BUNDOORA OPENING HOURS

Call: (03) 9473 8596

Monday:8.30am – 5.30pm
Tuesday:8:30am – 5:30pm
Wednesday:CLOSED
Thursday8.30am – 5.30pm
Friday:8.30am – 5.30pm
Saturday:CLOSED
Sunday:CLOSED

MORNINGTON OPENING HOURS

Call: (03) 5975 9334

Monday:8.30am – 5.30pm
Tuesday:8.30am – 5.30pm
Wednesday:8.30am – 5.30pm
ThursdayCLOSED
Friday:CLOSED
Saturday:CLOSED
Sunday:CLOSED