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Contact & Info
call us today01623 641613

Make a referral

This section is for referring dentists.

We welcome referrals from you for your patients who require orthodontic treatment.

For NHS patients, since April 2018 our Area Team has stipulated that referrals can only be received using the Rego online referral system. Please click here to access the Rego system

For Private patients, please complete the online form, print it for your own records then click submit for it to be sent to us via email. Or if you wish we are very happy still to receive referrals by post.

Thank you for your referral.

Referring dentist's name & address

Patient information

Presenting problem

Indicate the main presenting problem only by ticking one of the options on the right hand side.

Increased overjet

Incisor crossbite


Upper canine(s)

Class II division 2 malocclusion



Radiographs sent in

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