Please select how you would like to refer:
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Refer to us by online
This form below is for the convenience of dentists who wish to refer patients to one of our team members for specialist treatment
Please inform your patient that we ask for a deposit (except for free consultations) that is transferable with 48hrs notice for all of our appointments. The deposit is then deducted from the cost of the treatment.
Enter your referral details below.
Refer to us by email
Please kindly attach digital x-rays and photo’s that you feel appropriate along with either a covering letter or a completed scanned copy of our referral pro-former.
Please click here to email the referral centre.
Refer to us by post
Please complete referral pro-former (click here) and enclose any hard copies of radiographs you feel appropriate. Our address is:
Waterside Dental Health
1 – 2 Raleigh House
For NHS Specialist Endodontic and Periodontal Services (ONLY for patients in Tower Hamlets) please see the following documents for your reference and use.Referral criteria and referral form for Periodontal referrals
Referral criteria and referral form for Endodontic referrals