Referrals

If you are a dental professional and would like to refer a patient to our specialised denture services, we’ve made the process simple and convenient for you. Please complete the contact form below with your patient’s information and specific treatment needs, and our team will promptly reach out to schedule their consultation.

We understand that as a busy dental practice, you need efficient referral processes that work seamlessly with your workflow. That’s why we offer multiple options for submitting referrals – you can either fill out our quick online form for immediate processing, or download our printable referral form at the bottom of this page if you prefer to complete it offline and email it at your convenience.

Our team is committed to providing excellent communication throughout the referral process. We’ll keep you informed about your patient’s treatment progress and ensure they receive the highest quality care that reflects well on your practice. We also provide detailed treatment summaries and follow-up reports so you can maintain continuity of care with your patients.

Referral Form

Patient Details

First Name:

Surname:

Contact number:

Date of Birth:

Address:

Email:

I saw the above patient at my clinic on

and have completed an Oral Health Check.

I am referring the patient back to you for carry out the following treatment:

My particular or specific instructions related to the above denture provision are noted here:

Copies of his/her relevant records including a chart and radiographs where appropriate are attached.

Signature

Date :

Name :

Qualification(s):

GDC Registration Number: