We recognise the importance of maintaining a respectful, close working partnership with our referring dentist; for you and for your patients.

For us, this ensures the best level of service for your patient and the continuity of their treatment and care.

All patients, both existing members of our practice and those referred receive the same professional high standard of care from our whole team.

At Twelve Dental and Orthodontic Centre we accept external referrals for Orthodontics, Periodontics, Implantology and Multidisciplinary Cases.

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Practice Details

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Practice Name*

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Have you referred to us before?

Patient Details

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DOB*

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Further Information / Relevant Medical History

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By ticking this box you consent for Willow Tree Dental Centre to process the personal data that you have provided. You may withdraw this consent at any time. For more details on how yours and your patients' data is processed, stored and shared see our Privacy Policy

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