Referrals Referring dentists, please complete the form below or send a referral via e-mail. Thank you. Referral To A/Prof Alan Yap Dr Yeen Lim Referral From * First Name Last Name Contact E-mail or Phone * Address * Patient Details * First Name Last Name Phone * (###) ### #### Date of Birth * MM DD YYYY Referral for Implant surgery & definitive prosthesis Implant surgery & provisionalisation Implant surgery only Implant complication Full mouth reconstruction Treatment of tooth agenesis Aesthetic rehabilitation / Porcelain Veneers Management of trauma Management of attrition / erosion Removable prosthodontics Geriatric dentistry Management of sleep apnoea Objectives of Referral Management & ongoing care Management of specific condition Opinion only Notes Thank you for the referral!