Our clinical dental technician welcomes referrals for all removable partial, complete and implant retained dentures.

If you would be able to complete a dental health check-up on the patient and advise on any teeth not suitable to be clasped or any specific case considerations he should accomodate for in the design we would be most grateful. If not then we are happy to complete this for our usual new patient consultation charge of £65.

Dentist Name

GDC Number

Practice Name & Address

Telephone Number

Email Address

Patient Title

Patient Name

Patient Address

Date of Birth

Phone Number

Email Address

Relevant Medical History (Include conditions, medications, allergies)

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Case Details

Additional information (optional)

Thanks for sending your referral! We will be in touch soon