Please use this form if you are a dentist who refer patients to us for advanced treatment by specialists and experts. If you are a patient, please feel free to contact us by any of the means on our contact page
Any X-rays and photography can be added to the form, but are not required. If you would like a patient to be seen by a specific clinician, please add their name in the ‘Reason for Referral’ box.
We'll aim to confirm the details with you as soon as possible.
Please contact us directly for enquiries about our consultation fees.