Referrals

We welcome professional referrals for NHS or private orthodontic treatment

Our trustworthy, high quality and reliable orthodontic treatment makes us a popular choice with referring dentists and we are proud of the relationships we have built with clinicians across Nottinghamshire. You can check our latest CQC inspection report here.

If you are a dentist making an NHS referral, please complete the NHS referrals form and post it to Pure Orthodontics, 26 Regent St, Nottingham NG1 5BQ.

Please fill in the email form below only if you are making a private patient referral.

If you would like to discuss a patient's case in more detail, please don't hesitate to call us on 0115 948 4288 or email us at info@pure-ortho.co.uk. All information is kept strictly confidential.

Private Patients only

Referring dentist details
Dentist’s full name *
Practice name *
Practice address *
Postcode
Email
Telephone *

Patient details
Patient's full name *
Patient's Phone *
Patient's address
Postcode
Date of birth
Day Month Year
Treatment details
Should be Empty:

Referrals

Referring dentist details

Patient details

Pure Orthodontics