THIS PAGE IS FOR THE REFERRING DENTIST/DOCTOR ONLY

Private Patient Referrals

What can be Referred?

  • IV Sedation
  • General and Local Anaesthesia
  • Wisdom Tooth removal
  • Dental Implants
  • Oral & Maxillofacial surgery
  • Endodontics
  • Treatment of nervous patients
  • NHS-funded tooth extraction for children
  • Restorative Dentistry

Patient details:






Doctor details:



Treatment details:

Right

Left

Any further referral notes

Required treatment

THIS PAGE IS FOR THE REFERRING DENTIST/DOCTOR ONLY

Private Patient Referrals

Download a Referral Form

Referrals are accepted from General Dental Practitioners, Community Paediatricians, General Practitioners and local Hospital Consultants. Referral procedures are made quick and simple with our supplied referral packs in full accordance with General Dental Council Guidelines.

Please select one of our referral forms below if you would like to refer a patient. Referral form may be sent to us via post or alternately, may be faxed to us on 01792 473690

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Did You Know?

PWC Facial Aesthetics

 Parkway now offers a range of facial aesthetic procedures including Injectable Treatments for Facial Lines, Dermal Fillers, Facial Rejuvenation, PRP – Dracula Facial and Creams.