Patient Referral

FOR DENTAL PROFESSIONALS?

Want to refer a patient ?

Community Dental Services: Dentist Referral

At Tooth Club, we are proud to offer support to our dental colleagues.

  1. We work ethically and your patients will always be discharged back to your care on completion of treatment.
  2. We will keep you updated with your patients progress and letters/ reports will be sent to you at appropriate stages throughout the treatment. 
  3. We offer peace of mind that your patients are in safe and caring hands. 

We are happy to support you and your dental clinic and offer help to develop your skills & CPD. 

We offer a professional service and treat all patients with the utmost care and attention. We also offer sedation and our team is equipped to help anxious or nervous patients.

Simply fill in the below form to refer a patient and one of our dentists will contact you to arrange further details.





    Patient Details








    YesNo

    Referral Details

    Referring

    ImplantologyOrthodonticsEndodonticsCosmetic DentistryProsthodonticsHygienePeriodonticsPaediatric DentistryOral SurgeryIV SedationFacial TreatmentsInvisalignOther


    YesNo

    YesNo


    YesNo

    Documents




    Simply fill in the below form to refer a patient and one of our dentists will contact you to arrange further details.

      Referring Practitioner





      Patient Details












      PLEASE NOTE:

      Patient’s will be requested to make payment at the Scan appointment.
      Please indicate if you prefer the referring practitioner to be invoiced