Refer a patient

We work with hundreds of referring dentists, GPs and dental specialists to provide treatment for their patients.

Each and every patient referred will receive honest advice,

excellent service and high quality care.

Complete an e-referral form below...

Patient's full name

Patient's phone no.

Patient's email address

Date of Birth

I am willing to make temporary dentures if needed as part of their treatment

Patient may want sedaton for treatment

I am happy for the patient to be booked with the soonest available appropriate Specialist

Additional information

Upload x-ray/photo

referring clinician's full name

referring clinician's Practice name

referring clinicians email address

URGENT REFERRAL?

CBCT/OPG only (I will arrange my own report)

please provide a report on the image

I confirm that I am CBCT Level 1 accredited

I confirm that I am registered with the GDC

Thank you for your kind referral.

SOUTH WALES S PECIALIST
ORAL SURGERY AND
DENTAL IMPLANT CENTRE