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Your trusted referral clinic
Referral Process…

1

Complete Our Simple Form

2

We Contact Your Patient

 

3

Patient Treatment Complete

4

Patient Discharged Back To You

Referral Promise

 

An initial consultation is conducted to understand the current situation and outcomes required. If necessary radiographs, dental photography, a CBCT 3D scan or OPG x-ray are taken.

 

The patient receives treatment plan options and has time to understand them. Once the treatment plan is agreed they receive a copy along with the estimated costs.

 

The referring dentist is copied into communications at all stages of the process and treatment only commences with their agreement.

 

The patient and referring dentist are pleased with the outcome.

 

Most importantly, at the end of the treatment the patient is discharged

 

 

 

 

 

 

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About your practice
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Your Practiceyour full name
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Contact Numberyour full name
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About your Patient
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Patient Phoneyour full name
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Reason for Referral
Please tell us about your referralmore details
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Supporting photos and/or radiographs
Important: please keep all your photos and/or radiographs under 15MB and in BMP, PNG, JPG, GIF or PDF format to ensure we can receive them. If you are unsure of their file size you may wish to send them separately using We Transfer to info@gosforthdentalsurgery.co.uk
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