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Professional referral

Referral FormIf you have referred to us before, we would like to take this opportunity to thank you for your continued support. If you are a new referring practitioner, welcome to S10 Dental. We hope you find this section helpful and informative. If you have a query, please do not hesitate to get in touch.

We promise to:

  • Send an acknowledgement on receipt of your referral
  • Treat your patients as you would wish to be treated
  • Send copies of all of our radiographs for you to keep
  • Send correspondence throughout your patient’s treatment with us
  • Liaise all appropriate information concerning multi-disciplinary cases
  • Provide an excellent working relationship
  • Encourage your patients to see your hygienist if required
  • Provide a written summary at the end of your patient’s treatment
  • Return your patient back to you at the end of their treatment with increased enthusiasm and confidence with their new smile
  • Re-refer your patient back to you for whitening unless you specifically request otherwise
  • See your patients for all appointments to do with their orthodontic retainers, whether fixed or removable for as long as you would like us to after their orthodontic treatment has finished

We request that you:

  • Include full details of your patient, including a contact telephone number
  • Include your name or their referring dentist’s name on all correspondence
  • Encourage your patient to maintain excellent oral health throughout their treatment
  • Maintain regular dental and hygiene examinations with your patient
  • Carry out any extractions which may be as requested by the orthodontists
  • Contact us straight away if you have any queries or concerns

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Referring Dentist Details

Patient Details

Referral Information