For Dentists - Refer to us

Title

Your name

Practice name

Address

Post code

Telephone

Reson for referral

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Patient name

Date of birth

Address

Contact telephone

Full smile design

Dental Implants

Surgican extraction

Facial aesthetics

Botox

Fillers

Relavant medical history

Current medications

Allergies

I confirm I have obtained the patient consent for this referral

Completed by

GDC Number

Date

Opening Hours

Sunday Closed
Monday 8 a.m to 5 p.m
Tuesday 8 a.m to 5 p.m
Wednesday 8 a.m to 5 p.m
Thursday 8 a.m to 5 p.m
Friday 8 a.m to 4 p.m
Saturday Closed

Please note that we are closed between 12:30 - 1.15pm for lunch during weekdays

Treatments

Contact

41 Stour Road,
Christchurch
BH23 1LN