This website is best viewed in Internet Explorer 8 or above. You are currently using an old version of Internet Explorer. Please click on this link to update your browser.

Call Now on: 01895 258700

Referral Forms for Dentists

Referring Dentists

Why Refer?

Patients sometimes require treatment that falls outside the remit of general dental practice. Appropriate, timely referral demonstrates a high standard of care, and reflects your duty of care, to your patient. Current GDC guidelines (Standards for Professionals Paragraph 1.3) state that ‘a dentist should work within their knowledge, competence, and physical ability and patients should be referred for second opinions and advice at the patient’s request or for treatment when necessary’. At Escentics Dental Referral Centre, we are happy to assist you in the provision of optimum care for your patient

Click here for details on all our Advanced Dental Services 

How to Refer

We are able to accept referrals by post, phone fax or email. You will find pro-formas in your referral pack, along with pre- addressed, reply envelopes for your convenience. Or simply download the forms below.  Our referral team are happy to provide advice, guidance or second opinions where requested. 

We can offer affordable treatment within your local area making it more convenient and cost effective for patients. You may be referring your patients to a specialist practice which is far for patients to travel and may be quite expensive especially in this current climate. Our referral team are dedicated to providing your patients with the best dental care possible – even if it’s just for a second opinion. You are able to download our referral forms here.


Please click below for the Diagnostic Referral Form:



Please click below for the Patient Referral Form: