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Orthodontic Referrals

General Dentistry

We welcome your Orthodontic referrals to Lancashire Dental & Orthodontics.

Here at Lancashire Dental we value our relationships with Dentists.  We are a passionate team who provide quality care to all patients.  You can be assured that we will take great care of your patients, explaining our  procedures and aftercare thoroughly.

All of our team are highly trained in patient care, expert diagnosis, treatment planning and, of course, in the provision of orthodontic treatment.  We really value our relationships with referring dentists and appreciate that you are entrusting your patients to us.

As a referring partner we promise:

  • to care for your patients with the highest professional standards
  • to only complete the treatment requested
  • to maintain regular communication with you and the patient to discuss any necessary changes
  • to return all patients to you after treatment for restorative work and aftercare

What we can offer your patients:

  • private orthodontic treatment for adults, teenagers and children of all ages
  • no waiting lists
  • 30 minute (adult) 20 minute (children) comprehensive initial consultation

We would be happy to discuss any patient’s care, should you wish to contact us prior to a formal referral and we welcome visits by fellow colleagues to see our facilities and meet our team.

To refer your patient, you have three options:

  1. You can either fill in the Referral form below OR
  2. Download the Referral form, print it out, fill it in and then send to Lancashire Dental & Orthodontics
  3. Contact us on 01254 51579 or email info@lancashiredental.co.uk

1. MANUAL FORM FILL-IN

To download the Orthodontics referral form Click Here

2. ONLINE FORM FILL-IN

Please fill in as many details as you can. Fields which have this symbol * need to be filled in.

Please note that when you click the SUBMIT Button at the bottom, all your details will be sent via email to Lancashire Dental & Orthodontics and are completely confidential.

Keep scrolling down till you find the online form you want.

Orthodontics Referral

Referring Dentist Details

Treatment Required

Patient Details

By submitting this enquiry form, Lancashire Dental will securely collect your details. Please read our Privacy Policy on how we protect and manage your submitted data. You will be able to ask us for details of the personal data we hold on you, or ask us to delete it. We will never share your details with a third party.

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