Referring patients to Smart Dental Care

 

As we have a very comprehensive team of dentists and we can accommodate referrals from practices outside of the Smart Dental Care Group. We have a specific process designed to make sure your patients are looked after as we would our own and to keep you in the loop regarding the progress of their treatment.

Referrals made using the form below will go straight to the Patient Coordinator of the practice/dentist that you choose to refer to. The dentist will then review the case (so please give as much information as possible) to make sure the patient is suitable. Whether the patient is suitable or not, you will receive a letter (via email or post as specified by you) explaining either why they are not suitable with advice on what to do next, or a confirmation that we will contact the patient to offer the treatment and estimated timescales.

Please view our list of dentists who are able to perform advanced treatments to see where and who you will be referring to.

 

Patient Details

Title

Name *

Date of Birth * (dd/mm/yyyy)

Address *

City *

Post code *

Mobile *

Email

Reason for referral? Any observations? *

Practice Details

Patient Referred by *

Practice Name *

Address *

City *

Post code *

Telephone *

Email

Referral Details

Referring To *

Dentist *