Refer A Patient

Home / Refer A Patient

Our ethos is ‘share the care,’ so we are always keen to work with you to give your patients a high standard of treatment. You’re welcome to observe and assist in the treatment we give, so you and your patient are kept informed throughout the process. Just fill out the form below to send your patient referral direct to our dental specialists.

Fill in your patient details below

Alternatively you can click here to download our patient referral form. Once completed please email to [email protected] or send it via post to: Birmingham Dental Specialists, 9 Waterfront Walk, Birmingham, West Midlands, B1 1TX

Type Of Referral*
Patient Name*
Patient Date Of Birth*
Patient Telephone Number*
Patient Mobile Number
Patient Address*
Reason For Referral*
Patient's Complaint*
History Of Complaint*
Oral Condition
- Excellent
- Average
- Poor
Periodontal State
- Excellent
- Average
- Poor
Referring Dentist Name*
Additional Information
Referring Practice*
Referring Practitioner Telephone*
Date Of Referal
Referring Practitioner Email
Upload Patient Documents
Drop files here or

Consultations and Treatments are available when referring patients to us for:

We welcome referrals from dentists for a wide range of treatments. If you need to refer a patient, then you want to make sure they are in safe hands. Our dental specialists are all highly skilled in a number of areas, including periodontics, endodontics and orthodontics.

Periodontal and Implantology

Periodontal treatment
Assessment, planning and advice for implant cases
Ridge augmentation and full sinus grafting procedures
Surgical placement of implants
Restoration of implants
We are also pleased to work with the referring dentists should they wish to undertake the restorative treatment themselves. Guidance is also available for such cases if required.

Cosmetic Dentistry

Aesthetic and functional crown lengthening procedures
Periodontal plastic surgery

Endodontics

Non-surgical endodontics
Surgical Endodontics
Endodontic retreatments
Vital and non-vital bleaching
Endodontic related trauma

Orthodontics

Functional orthopaedics in the mixed dentition
Treatment mechanics with pre-adjusted edgewise appliance
TMJ
Orthodontics in orthognathic surgery
Invisalign
Incognito ‘hidden-braces’
Orthodontic therapy for children who do not fit the NHS criteria

Get in touch with one of our team here or give us a call on 0121 643 4147.

Refer A Patient

Fill in your patient details below

Consultations and Treatments are available when referring patients to us for:

Periodontal and Implantology

Cosmetic Dentistry

Endodontics

Orthodontics

Submit an enquiry

Quick Links

Dental Treatments

Contact Information

Opening Times

COVID-19 Update