Referrals (for dentist use only)

Patients of all ages are welcome to the practice for Orthodontic treatment. We treat both NHS and private patients of all ages from school children to retired professionals. Patients are never too old for Orthodontic treatment and it can greatly improve their confidence.  All NHS child patients must be referred to us by their dentist.

Referral Form New

Patient Details

Referral Type
Gender
Address
Address
City / Town
County
Postcode
mm
Canines Palpable?
X-rays enclosed?

Maximum file size: 67.11MB

Interpreter required?

Referring Dentists Details

All orthodontists are qualified dentists...

not every dentist is a specialist orthodontist

Call us on 028 8778 4827