Dentist Referral Form

Please complete our Online Referral Form below to refer a patient to us. Alternatively, please give us call us on 0116 260 0887 to speak to a member of our friendly team.

Once we have received these details, we will get in touch with your patient (within the next 5 days) to organise an appointment with us. You will be notified once we have confirmed this appointment with your patient, and you will be kept informed of any proposed treatment follow-up.