Referrals

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Dentist Referrals Manchester

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Referrals

We enjoy creating beautiful smiles regardless of case complexity and do our utmost to ensure every patient leaves feeling delighted with their new smile. We can accept private orthodontic referrals over the phone, by letter, fax and online via our referral form which can be accessed here.

We will remain in contact with you about your patients’ treatment, and each patient will continue to see you for their general dental care.

The Benefits

Avoid the NHS waiting list to be seen straight away.
Private referrals welcome for adults & children.
Smile solutions regardless of case complexity.
Convenient appointments.
Flexible payment options.

Referral form

Your Information

Patient's First Name(Required)

Patient's Last Name(Required)

Patient's Date of Birth(Required)

Patient Telephone(Required)

Patient Email Address(Required)

Patient's Address Line 2(Required)

Patient's Address Line 1(Required)

City(Required)

County(Required)

Postcode(Required)

Referring Dentist Information

Referring Dentist First Name(Required)

Referring Dentist Last Name(Required)

Referring Dentist Email Address(Required)

Referring Dentist Telephone(Required)

Practice Address Line 1(Required)

Practice Address Line 2(Required)

City(Required)

County(Required)

Postcode(Required)

Upload File(s)

Max. file size: 20 MB.

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Tuesday	8.00 - 16.00, 16:30 - 19:00
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Thursday	8.00 - 16.00
Friday	8.00 - 14.00