Community dental – referral form

Please give as much detail to support your referral as possible.

Thank you for referring to our Community Dental Service. Please note we are unable to accept self-referrals.

We just wanted to make you aware of the extended waiting times for the Community Dental Service. Depending on the treatment required, patients could be waiting up to 8 months for their initial assessment. We currently have limited access to General Anaesthetic and sedation facilities, and therefore there will be an additional wait time for this Type of treatment.

Please note we are unable to provide endodontic treatment (root treatment) under sedation.

To find out how we use this information, our security and your rights visit our privacy page.

You will see a thank you page once the form has been submitted. If you do not see this page then you have overlooked to complete some of the required fields. Please check the form, complete the missing details and resubmit. Thank you.