Dental referrals

Referrals

Referrals Information

We take referrals for a range of dental treatments including endodontics (root canal treatment), periodontics (gum disease treatment) and prosthodontics (replacement of missing teeth). We also take referrals for CBCT and OPG.

We are equipped to take referrals for our

Our aim is to see patients as soon as possible and carry out only the treatment for which your patients have been referred for.

If an urgent appointment is required, please contact us by telephone or email and we will try to accommodate. Rest assured, all referrals will be seen by a specialist and then referred back upon completion with a report of treatment carried out. To view the next available appointment for the specialists, please click on the tab above.

Costs for Periodontic and Prosthodontic consultations £150

Cost for endodontic consultations £80

 

Specialist Dentistry Referral Form

Practice Details







Patient Details







Reason for Referral




Endodontics






Prosthodontics






Periodontics





Other Referral

Observations / Comments



Please attach file as a jpeg, file size no greater than 3MB

Please Tick The Captcha Box Below Before Submitting - Thank You!

required fields marked *

Please note - this referral form should only be used for transferring information of a non-sensitive nature. If you wish to provide us with medical information or other potentially sensitive data, please contact us by telephone on 01234 819868 and we will advise.
Powered by dB Masters Multimedia FormM@iler