Sedation Referrals

General Dentistry

We welcome your sedation referrals to Lancashire Dental & Orthodontics.

The practice offers Intravenous sedation mainly for implants, minor oral surgery and extractions.

Our Treatment Co-ordinator liaises with patients who have been referred to ensure all questions are answered and is available before and after treatment to ensure patients are kept at ease and given a good patient journey.

The patient would be invited in for an initial consultation to ensure that they are suitable for sedation and would be provided with a treatment plan including it.  If the patient decides to go ahead, then they are booked in for the appointments needed.  If it is a patient that has been referred, on completion of their treatment we will send a report to the referring dentist.

We look after patients:

  • A team that truly cares for them
  • A bespoke personal service
  • A full range of modern dental treatments
  • A comfortable, pleasant, enjoyable and relaxing environment

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


To download the Sedation referral form Click Here


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.

Sedation 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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