Dentists

Thank you for considering us to be involved in your patient’s care.

We offer a comprehensive referral service in the following areas:

• Endodontics (re-treatments and surgical)
• Periodontics
• Implant dentistry
• Restorative dentistry
• Orthodontics
• Minor oral surgery
• Intravenous sedation
• Facial cosmetic services

How to refer

ONLINE: Our preferred method is via the secure online form below.
BY EMAIL: Please email the practice at enquiries@thedentalpracticeaberdeen.co.uk
BY POST: Please post to The Dental Practice, 21 Rubislaw Terrace, Aberdeen AB10 1XE

After receiving your referral, we will contact your patient on receipt.

Please be reassured that any patient you refer remains YOUR patient and we will only carry out treatment as requested. If for any reason, additional work is required, or a different treatment would be more appropriate, our clinician will contact you to discuss this.

If you have any questions please don’t hesitate to contact the practice manager, Miss Jill McFee on 01224 641773 or on the above email address.

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Patient Details

Patient Title:

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First Name:

Email Address:

Patient Address:

Surname:

Contact Number:

Date of Birth:

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Referring Dentist Details

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Dentist Name:

Contact Number:

Email Address:

Date of Referral:

Practice Address:

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Referral Details

Referred Patient Email:

Preferred Clinician's Name:

Consultation

• Consultation and Treatment
• Consultation Advice Only

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SPECIALTY:

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Endodontics

Periodontics

Implant dentistry

Restorative dentistry

Orthodontics

Minor oral surgery

Intravenous sedation

Facial cosmetic services

Please name any specific clinician you are referring to (if applicable).

Please provide a brief description of the reason for the referral and outcome sought:

Medical History:

Radiographs/ Images to be uploaded:

Click or drag a file to this area to upload.

Patient Consent:

(To comply with current GDPR regulations, your patient must be aware and consent to their details being shared with The Dental Practice.) *

Please tick to confirm that the patient has consented to the provision of their personal data.

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