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Information for referrers
Referrals for facial prosthetics 
Referrals for Nasal Prosthesis, Auricular and ear prostheses, Orbital and Eye Prostheses.

We accept referrals from Plastic and reconstructive surgeons,Maxillofacial Surgeons, Ophthalmologists, Doctors, Optometrists & Orthoptists.
Please refer to our Sydney or Melbourne Ocularist clinic through the online form, or email us at clinic@facialprosthetics.com.au

For referral pads or fillable PDF form, please email our clinic and we will supply to you. 

For phone advice from our ocularist, please call our clinic phone number.

facial prosthetics, prosthetic ear, prosthetic nose, prosthetic orbit, anaplastologist, prosthetic face clinic, prosthetic face melbourne, prosthetic face sydney

Our Facial Prosthetist

SYDNEY - Download fillable PDF Referral Form
Melbourne - Download fillable PDF Referral Form

Jack is our facial prosthetist & Anaplastologist, working across all of our clinics. 

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Jack works with all of our patients to ensure we provide an exceptional prosthetic outcome for all patients, and works closely with surgeons and referring specialists to ensure all patient needs are met. 

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Jack provides all maxillofacial prosthetics in our clinics, and travels between clinics on regular schedules to assist patients requiring new facial prostheses, including prosthetic noses, prosthetic ears, orbital prosthetics and other facial requirements, as well as assisting patients with prosthetic care and use, amendments and alterations.

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Jack enjoys spending time with our patients to ensure they are comfortable and fully understand the entire process. Each patient has Jack's mobile number to assist with any needs or questions they may have.

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To make an appointment with Jack, book online or call us

Sydney 02 7251 0460

Melbourne 03 7037 6159

Adelaide/Perth 08 8180 0680

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Online Patient Referral
Prosthetic Eye Consultants

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