Dental Referral
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Dental Referral Form
Our dental implant and periodontal consultation fee is of ÂŁ168, including any relevant intra-oral radiographs.
​Our Promises:
- To work with patients in a positive and constructive direction
- To stay within the remit of any written referral
- We will not recommend any treatment that we are not willing to deliver ourselves
- We will keep you updated on all aspects of the treatment
​Please attach the clinical information and any relevant radiographs/photographs with the form below.
We thank you in advance for your referrals and look forward to supporting you.