FOR REFERRING DENTISTS
Thank you for the referral of your patient.
You can refer a patient by completing the form below, emailing the referral to email@example.com or by sending the referral with the patient.
We would eventually like to run a paperless practice therefore email or online correspondence is preferred. We will send our reports back to your practice email address wherever possible. Please indicate if you would prefer a paper copy of the reports for your records.
It would be greatly appreciated if you could supply any applicable X-rays of your patient and we will return it as soon as their treatment is completed.
If you would like a referral pad sent to your practice, please email us at firstname.lastname@example.org