Online Referral Implants

THE BEST FOR YOUR PATIENTS

Dental clinics each have their specialist areas, differing skillsets, and popular treatments. At Loughborough Orthodontics and Implant Clinic, we offer the full range of dental implant treatments, from single implants to a complete new smile. We develop positive, co-operative relationships with other clinics and clinicians, to ensure the patients in our area have the absolute best on offer. This is a two-way street, and we enjoy building constructive connections with other clinics.

If you have a patient who would benefit from one of our implant treatments, please fill out the online forms below.

Book your appointment

Referring Dentists Details

Patient Details

Additional Patient Details

Please indicate any relevant medical information and reason for referral. Please provide as much detail as possible to allow us to provide your patient with the best care possible

Upload Image/Radiograph File(s):

Our policy is always to ensure patients are returned back to their referring dentists for continuation of treatment and their routine care. If you wish Loughborough Orthodontic and Implant Clinic to provide ongoing dental care to your patient, please confirm below.
No, I wish the patient to be returned to my care once treatment is completedYes, I would like Loughborough Orthodontic and Implant Clinic to provide the ongoing care

All emails include an unsubscribe link. You may opt-out at any time. See our privacy policy