PARKWAY DENTAL CLINIC

PRIVATE & NHS HEALTHCARE HOSPITAL

Welcome To Parkway Clinic, Swansea. South Wales’ Largest Dental Referral Centre.

Welcome to Parkway Clinic, Swansea. We understand that as a referring dentist, you’re looking for a trusted partner to provide exceptional care for your patients requiring complex dental and oral surgery.

At Parkway Clinic, we offer a comprehensive range of services, from intricate cosmetic and general dental procedures to advanced surgical interventions. You can be confident that your patients will receive expert treatment in a state-of-the-art facility, allowing you to focus on the ongoing care within your practice.

Parkway Clinic: Private Child Patient Online Referral

Referring Dentist Details

Referral Date
Referring Dentist Name
Address

Patient Details

Child Patient Name
Child Date of Birth
Patient/Guardian Address

Reason For Referral

Please State Which Treatment You Would Like to Refer For.
Reason For Referral
Click or drag files to this area to upload. You can upload up to 3 files.
Please Include An Up To Date Dental Chart For The Patient
Permanent Dentition Upper
Permanent Dentition Lower
Primary Detention Upper
Primary Detention Lower
Click or drag files to this area to upload. You can upload up to 7 files.
Radiographs, Study Models, Diagnostic Wax-up, ETC

Legal Section

I confirm I have the patient’s consent to share this information
This acts as a digital signature
Date