REFER A PATIENT

Patients seen at Ashley House are usually referred by their own General Dental Practitioner. Since most patients only require our services for specific treatment, we would encourage all our patients to register with a General Dentist.

The more detail we receive in relation to the patients history and their dental problem, the more easily we can facilitate their access to our specialist facilities. Please use our secure online referral form which is the most efficient means of referral.

Referring Dentist's Details


Patient's Details



Peridontics
Prosthodontics
Dental implants
Oral surgery
Endodontics
Sedation
Specialist assessment
Specialist treatment
Orthodontic treatment



Maximum file size: 5 Mb
If more than one file please compress all files into .zip
Accepted files: .zip, -doc, .docx, .pdf, .txt, .jpg



REFER A PATIENT


Patient's Details



Peridontics
Prosthodontics
Dental implants
Oral surgery
Endodontics
Sedation
Specialist assessment
Specialist treatment
Orthodontic treatment



Maximum file size: 5 Mb
If more than one file please compress all files into .zip
Accepted files: .zip, -doc, .docx, .pdf, .txt, .jpg