Dr Andy Tannahill - Dental Implants Specialist - Scarborough

Referral form

To make a referral, please fill in your details in the form below. Please answer all questions in as much detail as possible. Fields marked with a * must be completed. Please click here to view our referral charter.

If you wish to make a referral for implants and scans, please Click Here to use our online CBCT scan/OPG referral form.

Patient Details

Dentist Details

Please detail the treatment the patient will require, plus any treatment that the patient may have already undergone. Please try to be as specific as possible.

Please list any additional information, that you feel would be important.