The Birchington Orthodontic Practice  
 
The Birchington Orthodontic Practice East Kent Orthodontist
The Birchington Orthodontic Practice Telephone 01843 844600
Home of our East Kent Orthodontist About our Birchington Orthodontist Meet the team of Orthodontists in East Kent Orthodontic care available in Birchington Smiles created in East Kent Orthodontic prices in East Kent Orthodontic patient downloads in Birchington, East Kent The Birchington Orthodontic Practice
 
  The Birchington Orthodontic Practice  
 
Birchington Orthodontic Practice
     

Please click on the options on the right to download a pdf version of our treatment sheets.

Referrals: Please print and send the completed form to us by post
OR
If you have an NHS.net account you can fill in the form on screen, save the file and send it securely as an attachment with digital or scanned radiographs to Kane.Birchington@nhs.net

Please do not send referrals via ordinary email as this is not secure and could compromise patient confidentiality.

You can also use the online forms below to send us a referral, simply complete the form and click the submit button.

  
     
NHS Referral form
Referring GDP
Name:*
Practice Telephone number:*
Practice address:
Postcode:
email address *
   
   
Patient Details
Name:
Address:
Postcode*
Date of Birth:
Sex: Male Female
NHS Number:
e-mail address:
Home telephone:
Mobile telephone:
Reason for referral/ comments:
Non palpable, unerrupted, permanent canines in patient aged 10 years
1) Overjet >6mm <10mm >10mm 8) Prescence of supernumerary teeth
2) Reverse overjet -1mm >-1mm 9) Impacted teeth inc canines
3) Traumatic overbite 10) Submerged deciduous teeth
4) Open bites >4mm 11) Aesthetic impairment
5) Ant/ post x-bite with displacement 12) Possible surgical case
6) Crowded/ Malaligned teeth 13) GDP would like an opinion
7) Missing teeth 14) Over18 for private assessment
Relevant medical history
Additional comments/ information
 
     
     
     
Private Referral form
Referring GDP
Name:*
Practice Telephone number:*
Practice address:
Postcode:
email address *
   
   
Patient Details
Name:
Address:
Postcode
Date of Birth:
email address:
Home telephone:
Mobile telephone:
Reason for referral/ comments:
 
 
 
 
Birchington Orthodontic Practice
Birchington Orthodontic Practice
 
 
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The Birchington Orthodontic Practice, 7 Surrey Gardens
Birchington, Kent CT7 9SA
 
 
About our East
Kent Orthodontist