• Referral Form

    Referral Form

  • Referring Dentist Details

  • Patient Details

  • D.O.B
     - -
  • Referral Type

  • I am referring for*

  • Is this referral urgent?
  • Patient motivation
  • Patient for consultation only?
  • Browse Files
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  • X-ray to be returned?
  • Select teeth
  • Have you recently attended one of our Refer & Restore events?
  • Our Commitment to You

  • We view ourselves as a direct extension of your practice and promise to carry out only the specific treatment requested. Your patient will always remain yours; once the specialist phase of their care is complete, they will be returned to you for all ongoing dental needs. We have a strict policy of not taking on any patient who has been referred to us by another practice.

    We will keep you updated with a formal report following the initial consultation and a final completion letter once treatment is finished.

    Our specialists are always available for peer-to-peer discussions, so please feel free to reach out at any time to discuss a case or any aspect of a patient's clinical journey. We look forward to working alongside you to provide your patients with an exceptional level of care.

    For any queries, please contact our Referral Manager, Maisie, at maisie@tendental.com

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