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Refer a Dental Patient to Us

Want to refer a patient to our dentists in Essex and Thurrock? Simply fill in the below form to refer a patient and one of our dentists will contact you to arrange further details.

Treatment Referral

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Referring Practitioner

Patient details

Referral details

Documents

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    CT Scan Referral

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    Referring Practitioner

    Patient details


    Patient’s will be requested to make payment at the Scan appointment.
    Please indicate if you prefer the referring practitioner to be invoiced