Patient Referral Form

If you need to refer a patient to us, please enter full details on the form below. 

Throughout the referral process and your patient’s treatment, we will keep you well-informed. Following the initial consultation, you can expect to receive a comprehensive report. 

If you are able to provide any radiographs, it will greatly reduce the patient’s expenses. Rest assured, all treatment charges will be thoroughly discussed with the patient, and a written estimate will be provided to eliminate any possibility of miscommunication.

We take pride in our team of highly qualified dental specialists, who are readily available to support and mentor you. We also organize regular training events, designed to enhance your professional knowledge and skills. Please don’t hesitate to reach out to us for further details.

Should you have any questions or concerns, our team is here to assist you. Feel free to contact us at any time on 02380 442626 or info@smilemakers.co.uk.

Form fields with an asterisk (*) are required.

Referral Details

Patient Details

Our Referral Promise

Our utmost priority is to involve you in the care we deliver. When you refer your patients to us, we guarantee the following for each referral:

  1. Patient Return: We will never retain your patient and ensure they are promptly returned to you once their treatment with us is completed.

  2. Prompt Contact and Scheduling: We will swiftly reach out to your patient and schedule their appointment at the earliest convenience.

  3. Targeted Treatment: We will only perform the treatment that has been specifically referred to us, adhering to your recommendations.

  4. Treatment Options Discussion: We will engage in thorough discussions with your patient about all available treatment options, ensuring they are well-informed and empowered to make decisions.

  5. Ongoing Communication: You will be kept fully informed about your patient’s care at every stage of their treatment, providing you with regular updates.

  6. Comprehensive Treatment Plans: Your patient will receive detailed treatment plans that encompass all necessary aspects of their care.

We greatly value your involvement in the care we provide to your patients. If you wish, we warmly invite you to participate in the restorative aspects of implant procedures. Your collaboration is highly appreciated and will contribute to achieving optimal outcomes for your patients.

Opening Hours

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

8:30am – 7:30pm

8:30am – 5:30pm

8:30am – 7:30pm

8:30am – 5:30pm

8:30am – 5:30pm

By Appointment Only

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