Refer a Patient to TMJ Therapy Centre

Thank you for considering TMJ Therapy Centre for your patient's care. We welcome referrals from GPs, dentists, physiotherapists, chiropractors, ENT TMJ experts, and other healthcare providers.

Complete the secure form below and our team will follow up with your patient promptly — typically within 1 business day. You'll receive a confirmation email when the referral is submitted, and we can provide progress reports back to you on request.

Prefer to refer by phone? Call us directly on (03) 9804 7454 or email admin@tmjtherapycentre.com.au.

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Patient Details
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Symptoms & History
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Sleep & Other
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Referrer & Submit

Patient Information

Patient Name *

Date of Birth *

DD/MM/YYYY

Gender *

Male Female Other Prefer not to say

Address

Phone Number *

Why Refer to TMJ Therapy Centre?

TMJ Expert Focus

Melbourne's only accredited TMJ & Sleep Therapy Centre (International) in Victoria. We see TMJ cases every day — it's our core expertise.

Multidisciplinary Team

TMJ expert dentists, physiotherapist, and sleep medicine practitioners all under one roof. Your patient receives coordinated care.

Prompt Follow-Up

We contact referred patients within 1 business day and can provide progress reports back to you on request.

Comprehensive Assessment

60–90 minute initial consultation using advanced diagnostic tools including digital imaging and CBCT scanning.

Prefer a Paper Referral?

Download our printable TMJ referral form to keep in your practice for quick reference.

Download Referral Form (PDF)

Refer a Patient — TMJ Therapy Centre | (03) 9804 7454

Mon – Thu	9:00 am - 5:30 pm
Friday	9:00 am - 4:30 pm