Patient Referral Form

Home⬤Patient Referral Form

Dear colleague, patient referrals can be made to our clinical team by completing the online referral form or contacting the practice directly.

We will inform you of the recommended treatment after the first consultation with your patient, and will keep you fully informed of treatment progress at all times.

Clinic hours
Mon-Thurs 8.30am-5:00pm
Fri: 9:00am to 1:00pm
Lunch : 1.00pm to 2.00pm
Payment Plan

We offer a plan for patients to join. £13.99 a month would include:• 15% discount from Private Prices• The same dentist every visit no surprises• Two checkups a year, including small x-rays and scale and polish

OPT/CBCT’s are chargeable extras.

* We retain the rights to change the prices without notice, however the plan discount would remain the same.

© 2023 – 2026. All rights reserved. Website by Liverpool Webtech

Scroll to top