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 Bicester Dental & Implant Clinic accept referrals in the following:

Private orthodontics
NHS orthodontics

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:

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:

Referral Details (step 3)

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

Observations & Dental History

General assessment of dental health

Oral hygiene *

Poor Fair Good Other

Teeth of poor prognosis *

Relevant medical history *

Additional files
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Working in partnership with our referring dentists

Now providing dental implants

Making a referral

Make a referral

Patient details (step 1)

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

Referring Dentist Details (step 2)

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

Referral Details (step 3)

General assessment of dental health

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