Opening Hours
Mon - Fri 8:00am - 6:00pm
Sat 8:00am - 5:15pm

Patient Referral Form

Meet our specialists

Sometimes in dentistry there are complex treatments and procedures that require a specialist’s extra skills and experience.

We recognise this and have invited our most trusted specialists and dentists with special interests to treat our patients in-house without a waiting list and with the trusted support of our nurses and patient care team.

Refer a patient

Liam Reddington

Special interest in Endodontics

GDC 70663

Liam has a special interest in re-root and complex root canal procedures.

Carl Horton

Dental Implants and Gum Health

GDC 71768

Carl is our in-house specialist implantologist and periodontist.

Mark Forty

Specialist in Orthodontics

GDC 69270

Mark has a special interest is lingual orthodontics, now a registered specialist.

Insigam Muqbil

Consultant Orthodontist

GDC 80644

Insigam is a consultant orthodontist and has been on the specialist register for five years.

Sara Atia

Specialist Orthodontist

GDC 153560

Sara is a specialist in orthodontic care using a range of both fixed and removable appliances.

Refer your patient

Fill out the form below and we'll be in touch.

Referring dentist information:

Your Details

Practice Details

Referring patient information:

Patient's Details

Reason for referral:

Case images

Accepted file types: jpeg, jpg, gif, png.
Upload x-rays and pictures of the case in the following formats: jpeg, jpg, gif, png
Up to 5 images allowed, max size 3MB per image.

Share your experience with CQC