If you would like to refer a patient to see Ben for Perio, Claire for Endo, or Adriana for Ortho please either complete the form below and submit it online or print off a copy and send it to us in the post. Once we have received the Referral Form we will acknowledge receipt and then contact your patient directly to make an appointment. We will obviously keep you fully informed of your patient’s progress and it goes without saying that all information provided is treated in the strictest confidence. If you have any questions about referring a patient or if would like to discuss a particular case please do not hesitate to call us at the Practice.

Referring practitioner (your details)
Patient details (their details)
Download Referral Form
Book a consultation: Book Online

Or for emergencies call 01392 278843