Refer to Kent Endo

Refer By Post

Kent Paper referral form (Please note the new address for referrals): Download Here

South London Paper referral form: Download Here

South East London Paper referral form: Not Available Yet, Please Refer Online

Refer Online

Referring Practitioner

Patient Details

Referral Information

Medical history, patient complaint and reason for referral, how would you like the tooth restored

Upload Radiograph(s)/Photo(s)/Other information:

In light of the Covid-19 pandemic, to keep patient appointments to a minimum we require consent for the following.

I agree to the KentEndo clinician carrying out any other dental treatment that is found to be required within the same quadrant as the tooth/teeth being endodontically treated in order to stabilise active dental disease and minimise the number of AGP appointments the patient will need to attend.*

Yes I agree

No I do not agree

Send copy of referral to my email

I confirm that the patient has consented to being contacted regarding this referral

Download Practice Leaflet
Refer Your Patients