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Crowns & bridges
Six months smile
We aim to build a team with our referring dentists based on trust and respect, both seeking the best outcome for the patient.
We will provide your patient with the highest quality specialist dental care, evidence based and clinically proven.
We will keep you informed of the progress of your patient throughout the stages of the treatment.
We will return the patient back to your care as soon as the referred treatment has been completed, and we will try to do that promptly.
REFERRING DENTIST'S DETAILS
Practice address line 1
Practice address line 2
Patient full name
Patient address line 1
Patient address line 2
Patient phone number
Patient Date of Birth
General Medical Practitioner details
Reason for referral
Select a file or radiograph to upload
Once treatment is successfully completed, the patient will be returned to you for continued care at your practice.