Referral

Referral Form

This form is for use by dentists and DCPs( GDC registrants) to refer patients to the practice. A PDF copy of your referral will be available for download immediately after submission.

  • Patient Details

  • MM slash DD slash YYYY

  • Type of referral

  • Charting

  • Further Details

  • Max. file size: 100 MB.
    Please send any relevant radiographs, not just most recent

  • Dentist Details

  • This field is for validation purposes and should be left unchanged.

Supporting the NHS

Our practice has been chosen by our local NHS health authority to provide access for emergency dental care for patients across Lancashire. We are open for other regular NHS and private dental treatments for our patients. If you would like an appointment, please email [email protected] or call us on 01706 836130.

Protecting our Patients

Our top priority is patient safety and your wellbeing. We understand that visiting the dentist can sometimes cause anxiety. That's why we strive to create a welcoming and relaxing environment where you feel comfortable and safe. Our commitment to infection control ensures that you can receive your dental care with peace of mind.

Urgent treatment

If you require an urgent appointment, we have daily emergency slots, and you would normally be seen the same day.