Referral Form ( please note we only accept referrals from your registered dentist).

I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time.GDPR Consent.*

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Thank you for your kind referral. We will contact your patients within 2 working days, arrange their free consultation, and get back to you as soon as possible. Please call 01625 522023, if you require further information.
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Gentle Comfortable Care

Your tooth is unique and very precious, no opportunity to preserve it should be overlooked ⓒ 2009

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