For dentists

Referring a patient to us.

Our London Road practice accepts referrals for NHS and private orthodontics. Send us the details using the form below and we will contact the patient to arrange an assessment.

A partner for your patients

Each patient you send is seen by a Specialist Orthodontist, whether they need fixed braces, Invisalign® aligners or an NHS assessment. We send updates on progress, and once active treatment finishes they return to you for routine dental care.

Prefer to discuss a case first? Phone 01732 435 123.

Patient referral

Fields marked as required must be filled in before sending.

Referring dentist

First nameLast name

EmailPhone

GDC number (optional)

Referring practicePractice nameStreet address

Town / cityPostcode

Patient details

First nameLast name

EmailPhone

Date of birth

Address line 1

Town / cityPostcode

Clinical findings and referral notes

Radiographs and scans cannot be uploaded through this form. The patient may bring recent images on the day, or you can pass them to the practice separately.