Get in touch
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Referrals Welcome

Our Promise

You care about your patients and you want the very best for them. We feel exactly the same way, which is why we promise that:

  • Your patient will receive the best possible treatment from us
  • You will be kept informed of all developments throughout the referral process
  • You will be involved in the decision-making at every stage of the treatment
  • You will receive support and mentoring from our experienced and highly-qualified team
  • You will learn and develop your skills and earn CPD for doing so
  • Your patient will return to your care after the referral process
  • Your referral will make you a member of The Ivory Club, which hosts team building and social events for all our referring dentists throughout the year

Online Referral Form

Use the contact form to refer a patient to the Woodborough House team.

Referring Practitioner

Patient details

DD slash MM slash YYYY

History

Oral condition
Mucosa
Teeth missing (Click the teeth that are missing)
Upper teeth
Lower teeth
Pain levels
Swelling
Vital
PA lesion

Referral details

Referral details
I would like to be present during the consultation/treatment
I would like the dentist to contact me to discuss the case
Has the patient been given an estimate of our fees?
Max. file size: 10 MB.