About-us

Private referrals

We are happy to accept PRIVATE referrals for:

  • patients who do not have a registered Doctor (GMP) in the regions of Kent, Surrey, Sussex, Oxfordshire, Berkshire, Buckinghamshire, Hampshire and the Isle of Wight.
  • patients who wish to be seen sooner and not via the NHS pathway.
  • patients who fall outside the NHS referral criteria and wish to be seen by our experienced team

My Account

Patient Referral

    Choose a clinic

    Patient details

    Name*

    DOB*

    Email*

    Preferred phone*

    Alternate number 1

    Alternate number 2

    Address*

    Referral Information

    Tooth/Teeth requiring attention: *

    Patient complaint and reason for referral, how would you like the tooth restored

    Medical history

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