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We are delighted to accept referrals for specialist dental treatment and also for CBCT scans. Please complete the referral form and attach any relevant documents, and JPEG versions of photographs and radiographs.
01733 865000
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Please enter the referral details:

Which speciality are you referring*:
Attach Notes:

Multiple files: Once you've added a file you will see the 'Preview' tab. To add more files, click on an upload method again (for example: 'Local Files' or 'Camera'). You will then be able to add additional files. All of the files you are sending will be listed in the 'Preview' tab.

Reason for Referral:
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