Seabank Building, Suite G2, 12-14 Marine Parade, Southport, QLD 4215
(07) 5532 3433
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Dentist Referral

We appreciate the opportunity to collaborate with our dental colleagues in caring for mutual patients. Please complete the referral form below — our team will contact the patient promptly and confirm all details with your practice. We aim to contact referred patients within a few hours (or the next business day if submitted over a weekend).
* We will endeavour to return your call within a few hours, or if a message is left over the next business day, within 24 hours

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Patient Information

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Should we call the patient?*

Referring Professional Information

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Treatment Needed
Radiographs or Clinical Photos*
Max. file size: 50 MB.
Thank you for your referral. Our team will contact your patient shortly and update your practice once an appointment has been arranged.

5.0

Proven results

Gullotta Orthodontics is the best! From the start to finish my son have had the best experience with Dr Gullotta and all the staffs services were amazing. They are all very friendly and every consultation was enjoyable and they made my son feel extremely comfortable. I would highly recommend Gullotta Orthodontics.
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Aymaan
When looking for an orthodontist for our daughter we looked at all our options. When we visited Dr Gullotta we knew we had found the right place. He and his team are very friendly and professional, they were more focused on my daughter and her needs than other places we had visited. We can’t thank Dr Gullotta and the team enough as their care is second to none and would recommend them to anyone needing orthodontics.
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Tom Stages
From start to finish I’ve only ever had the very best experience with every aspect of Gullotta and all their staff. I honestly can’t fault any of my interactions. All staff and services are amazing. I would thoroughly recommend them. My partners’ son is due for his braces in the coming years and I am going to highly recommend Gullotta. Thanks Team for giving me my straight smile 😁
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Bella Lee
It’s been a long Journey but it’s finally over! I am so happy with the results and I’d like to thank the team at Gullota Orthodontics for making this an amazing experience! They have been very flexible and understanding and easy to work with the whole time. They’ve honestly gone above and beyond every single time! Every time I had to attend an appointment I was greeted with a smile which is nice! I now have a smile that I can be proud of and I owe it all to these team! Thank you so much this journey has been amazing!
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Blake Stamford
I'm over the moon with the results I received with lighforce braces!! I had 3 other places say my teeth issues were too complex! Dr Gullotta said no way, let's do this! The staff are all so friendly & patient and went above and beyond to make sure I understood and was comfortable through every step of my treatment. Highly recommend 🌟🌟🌟🌟🌟
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Courtney Bennett