For Referrers - TASMANIAN ORAL, MAXILLOFACIAL AND IMPLANT SURGERY (TOMIS)

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Hospital eAdmission

ABOUT
FOR PATIENTS
PROCEDURES
FOR REFERRERS
LOCATION
CONTACT

REFERRALS

Please note this page is for medical and dental practitioners making a referral.

REFERRALS CAN BE SUBMITTED ONLINE, FAXED IN OR EMAILED.

EMAIL: reception1@tomis.com.au

FAX: 03 6251 1629

All information treated with complete privacy – please ask the patient to call us on 03 6169 2129 to book an appointment.

Clinician Details

Clinician First Name*

Clinician email*

Clinician Address

Clinician Surname*

Clinician Phone Number*

Clinician Provider Number*

File upload: CT / OPG / Radiographs

Upload other information

Patient Details

Patient First Name*

Patient email *

Patient Date of Birth*

Patient surname*

Patient Phone Number*

Patient Street Address

City

State

Postcode

Reason for referral*

Referral Category

Urgent

Routine

Follow up

First consult

Patient to be seen in:*

All information treated with complete privacy – please ask the patient to call us on 03 6169 2129 to book an appointment.

Clinician First Name*

Clinician email*

Clinician Address

Clinician Surname*

Clinician Phone Number*

Clinician Provider Number*

File upload: CT / OPG / Radiographs

Upload other information

Patient Details

Patient First Name*

Patient email*

Patient Date of Birth*

Patient surname*

Patient Phone Number*

Patient Street Address

City

State

Postcode

Reason for referral*

Referral Category

Urgent

Routine

Follow up

First consult

Patient to be seen in:*

All information treated with complete privacy – please ask the patient to call us on 03 6169 2129 to book an appointment.

Clinician First Name*

Clinician email*

Clinician Address

Clinician Surname*

Clinician Phone Number*

Clinician Provider Number*

File upload: CT / OPG / Radiographs

Upload other information

Patient Details

Patient First Name*

Patient email*

Patient Date of Birth*

Patient surname*

Patient Phone Number*

Patient Street Address

City

State

Postcode

Reason for referral*

Referral Category

Urgent

Routine

Follow up

First consult

Patient to be seen in:*

HOURS: Monday - Friday 8am - 5pm (Saturday & Sunday EMERGENCIES ONLY)

HOBART (Falconer House)
30 CASCADE ROAD,
SOUTH HOBART TAS 7004
reception1@tomis.com.au
03 6169 2129

Download detailed directions (PDF)

LAUNCESTON
16 CANNING STREET,
LAUNCESTON TAS 7250
reception2@tomis.com.au
03 6349 1949

CREDENTIALS:

© 2025 TASMANIAN ORAL, MAXILLOFACIAL AND IMPLANT SURGERY (TOMIS)

ABOUT
FOR PATIENTS
PROCEDURES
FOR REFERRERS
LOCATION
CONTACT