Referrals in Manchester City Centre

Referrals

Our highly skilled clinicians have been seeing referred patients for many years. We are experienced at managing these relationships, so you can be assured that we will only treat your patients for the issue that has been referred to us.

Making a referral

Our highly experienced clinicians here at City Centre Dental & Implant Clinic accept referrals across Manchester in the following:

• Endodontics
• Dental Implants
• Fixed braces
• Complex Invisalign Cases
• Periodontology
• Oral surgery
• Sedation

Make a referral

Patient details (step 1)

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First name *

Last name *

Address 1 *

Address 2 *

Postcode *

Date of birth *

Contact number *

Email *

Please check that the following fields have been filled out correctly:

Next stage

Referring Dentist Details (step 2)

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First name *

Last name *

Phone number *

Practice name *

Practice address line 1 *

Practice address line 2

Practice city *

Practice county *

Practice postcode *

Email address *

Please check that the following fields have been filled out correctly:

Next stage

Referral Details (step 3)

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Enter the name of the relevant clinician to refer your patient to (if known)

Please select... Dr. James Dentith Dr. Dipak Basi Dr. Philip Broughton

Treatment required *

Please select... Sedation Oral surgery Endodontics Teeth straightening Invisalign Fixed braces Smile styling Stain removal Dental veneers Teeth whitening Composite bonding Replacing teeth Dentures Crowns Bridges Repairing teeth Dental implants Periodontology General dentistry Hygienist services

Observations & Dental History

General assessment of dental health

Oral hygiene *

Poor Fair Good Other

Teeth of poor prognosis *

Relevant medical history *

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Confirmation

  I confirm I have the requisite authority to share the patient's information in connection with this referral

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