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Oral Surgery Referrals

Allow our local specialist surgeons enhance your patients experience with expert care
Referrer details
Patient details
Teeth Requiring Treatment
RIGHT
LEFT
REASON FOR TREATMENT
APPOINTMENT REQUIRED
Referral information
(antiplatelet/anticoagulants/bisphosphonate/steroid use; heart issues requiring ab cover; blood/bleeding disorders)
Tick the below box to confirm that an email has been sent to "INFO@DENCARECLINIC.CO.UK" with all relevant attachments including any photograph(s), radiograph(s), scan(s) & report(s), x-ray(s) and other such relevant document(s) together with the patient name and date of birth in the subject of the email to identify the patient?
Tick the below box to confirm all the information provided has been checked, is accurate and the patient has consented to share this information with The DenCare Clinic & Travel Vaccinations oral surgery referral pathway?