Referral Form

CLICK HERE TO DOWNLOAD THE FORM (PDF)

We welcome patient referrals from other practices. Patients can be referred to the practice for the following consultations and treatments:
  • Implant treatments
  • Panoramic radiographs
  • Dermal Fillers


On receipt of a referral from a dentist we contact the patient without delay to arrange an appointment at your earliest convenience.

A consultation appointment is made, and this is mainly to undertake a thorough examination and investigation. All treatment options are given at this appointment and discussed.

After this you are provided with a comprehensive treatment plan and estimates for each option, a copy of which is sent to your dentist. Then the specialist treatment for which one had been referred is carried on.
  • Diagnosis - Includes medical history, perio charting, x-rays, photo documentation, oral hygiene instructions, treatment plan.