Finest Smile

We are accepting referrals

We are proud to welcome referrals for specialist services including:

  • Root canal treatments
  • Surgical extractions/Implants
  • Treatment under sedation ( from the age of 18 years)
  • Periodontal (gum) treatment
  • CBCT/OPG scans

Our friendly team is ready to help and looks forward to helping even the most nervous patients feel at home when visiting our practice!

Please fill in and submit the form below, if you prefer, you can also download the form and send it in by post or email.

Hengistbury Head Sunset
 

Online referral form

Patient details:

Radiographs included?

Reason for referral:
1. Endodontic

Is the tooth symptomatic?

2. Surgical
3. Periodontal
4. OPG/CBCT
Referred by:
Radiographs & Clinical Photographs

If you would like to attach any radiographs, clinical photographs or any documents that you feel would be of use, please use the upload facility below.