01202 765808

  40 Alumhurst Rd, Bournemouth, BH4 8ER

Dentist Referral Form

We are happy to receive referrals for both Private and NHS treatment.

We would like to make you aware that should you wish to refer a patient for an NHS consultation, the patient must be under 17½ years, and referred via the Orthodontic Central Referral Centre.

Please click here to download the NHS referral form.

For Private treatment, please complete the form below and once received we will contact both your patient directly and yourself to acknowledge your kind referral.


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