Camberley Dental Studio
Call us: 0127 663 854
info@cdentalstudio.co.uk
The Link Dental Surgery
Call us: 01252 872 497
info@cdentalstudio.co.uk
Referrals - The Link Dental Surgery

If you are a practitioner and you wish to refer a patient, please use the form below.
The initial consultation is 30-45 minutes long and the fee includes any radiographs taken. Patients at this stage will receive an indication if they are suitable for treatment, approximate costs and discussion of alternative treatment which can be provided by the referring practitioner.

The initial consultation charge is currently £80.

All Patients remain registered with the referring dentist.

Please choose one or more of the following services:    
     
Implants
 
Oral Surgery
 
Bone Grafting
 
Cosmetic Treatment
 
Full Mouth Rehabilitation
 
IV Sedation
 
.................................................    
Fill-in the following form and click on the "Submit" button to send your form.
     
Date:  
Dentist Name: *  
Dentist Email: *  
Do you request a telephone call prior to patient's appointment?   yes no
Patient's Name: *  
Patients Date of birth  
Address:  
Telephone Number: *  
Reason for referral:  
Your evaluation / assessment:  
X-rays attached?   yes no
X-rays to be sent?   yes no
   
   
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Contact Us
Name:
Tel:
Email:
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Camberley Dental Studio

31 The Avenue
Camberley
Surrey
GU15 3LN

0127 663 854

info@cdentalstudio.co.uk

The Link Dental Surgery

11 Aylesham Way
Yateley
Hampshire
GU46 6NR

01252 872 497

Fax: 01252 890277
info@cdentalstudio.co.uk