Prosthodontics

What patients should be referred for prosthodontic treatment?

  • Advanced tooth wear
  • Advanced crown and bridge restorations
  • Dental Implant Restoration

Please complete form below or call the practice on 0121 478 3770 to refer your patients

All data submitted through this form is encrypted in line with EV SSL Certificates for the highest levels of authentication, security and trust. Central England Specialist Referral Centre will only use the information supplied for this patient referral and processes all data in line with the General Data Protection Regulations update as per May 2018. 

  • Practice Details

  • Patient Details

  • Telephone numbers

  • Reason for Referral

  • Brief history / comments about this referral

  • Drop files here or
    Accepted file types: jpeg, jpg, gif, giff, png.
    Upload x-rays and pictures of the case in the following formats jpeg, jpg, gif, giff, png Up to 5 images allowed, max size 3MB per image
  • Investigations

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How it works

It couldn’t be easier!

Your referral will be passed on to the appropriate specialist

2

The patient is contacted immediately with an appointment date

A confirmation letter is sent to you, the referring practitioner

4

Patient attends the appointment

All copies of correspondence are passed on to you, the referring practitioner