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Dentist referral

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    Dentist referral form

    We are always happy to accept referrals from dentists to help manage the care of their patients.

    To refer a patient please either download the form here or fill out the details using the digital form below.

    We accept referrals for

    Fixed prosthodontics & restorative dentistry
    Tooth wear
    Restoration of the failing dentition
    Partial or full rehabilitations
    Management of occlusion
    Management of aesthetic anterior restorations
    TMJDS and its management

    Implant dentistry
    Treatment planning
    Placement and restoration of dental implants
    Bone, soft tissue & sinus grafting
    Implant complications & peri-implantitis

    Removable prosthodontics
    Complete and partial dentures
    Implant-retained over-dentures

    2d & 3d cbct imaging
    Digital panoramic images
    3D cone beam CT scans

    Orthodontics
    Adults and children
    Fixed, removable and aligners

    Periodontology
    Non surgical treatment
    Surgical cases
    Soft tissue surgery

    Oral Surgery
    All minor oral surgery
    Wisdom teeth and impacted teeth removal
    Hard and soft tissue surgery
    Biopsies

    If you wish to discuss a case prior to referral please contact us directly on 01494 412442 or email hello@sorrisodental.co.uk

    Our referral policy

    Contact your patient
    We acknowledge your referral and contact your patient to set an appointment.

    Assess and discuss management
    Following the consultation appointment we discuss management and treatment options as appropriate.

    Treatment plan
    Your patient is provided with a detailed treatment plan, time frame for treatment and estimate of fees.

    Treatment carried out
    We carry out specialist treatment outlined and agreed in your patient’s treatment plan.

    Return patient back to your care
    Once our treatment is complete, your patient is returned to your care to maintain their routine dental care.

    Advise and assistance
    We are available and are happy to follow up should you need assistance following our treatment. Please get in touch.

      Patient details



      Parent/Guardian (for children under 16 years of age)

      Referring dentist details


      Reason for referral

      Please tick one of the following

      Further details

      Message

      Thank you for your referral.

      Download form

      Dental imaging request

      We are always happy to accept referrals from dentists to help manage the care of their patients.

      To refer a patient please either download the form here or fill out the details using the digital form below.

      Conditions

      To comply with the IR(ME)R 2000 regulations, all radiographs and CBCT scans are required to be justified, reviewed and reported into the clinical notes by the referring practitioner or by a radiologist.
      We are unable to provide a report for your requested radiographs and CBCT images unless you request one.
      We strongly recommend that all CBCT and other radiographic examinations are reported upon to rule out the possibility of coincidental pathology, and can arrange to provide a report for your requested images for an additional fee of £85 per image.

        Please choose one of the below:

        Patient details



        Possibility of pregnancy

        Referring practitioner details


        Imaging details

        Please tick teeth required in the chart

        Area of Interest

        Justification for image

        Image required

        Image format

        Message

        Payment

        Thank you for your referral.

        Sorriso Dentistry

        The Rear Barn
        Marshall’s Yard
        Windsor End
        Beaconsfield,
        Bucks, HP9 2JJ
        View map

         

        To arrange an appointment or to find out more please call us on 01494 412442, email us hello@sorrisodental.co.uk or complete the contact form.

        Opening times

        Monday9am - 5pm
        Tuesday9am - 5pm
        Wednesday9am - 5pm
        Thursday9am - 5pm
        Friday9am - 5pm
        Contact Us