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Referrals

Private Referral to : (if multi-disciplinary service applicable tick prosthodontics who will triage the patient. Only one consultancy fee will apply)

Specialists in Prosthodontics (Crowns/Bridges/implants) Manny Vasant MBE BDS; MGDS RCS (Eng); MGDS RCS (Edin); FFGDP (UK); FDS RCS (Edin); Dip Dent Imp (RCS Eng) Ronuk Vasant BDS (Lon); MFDS RCS (Ed); MClinDent Prosthodontics (Lon); MRD RCS(Eng)

Specialists in Periodontics (Crown Lengthening, Gingivectomy, Frenectomy, Gum Recession etc) Neesha Patel MSc(Can); BDS (Glas); MFGDP(UK); MClinDent Perio(Lon); MRD RCS(Ed)

Specialists in Oral Surgery (Extractions including impacted teeth, MOS) John Duker BDS (Lon) FDS RCS (Eng)

Dentists can print off a referral form (in PDF format) for posting to us by clicking here. Or you can use the electronic referral form below. All fields in bold are required.

Referral to:	Select Specialist Manny Vasant Ronuk Vasant Neesha Patel John Duker
FROM:		DATE:
Dear:
Re:
Patient's Address:
Tel (W):		Tel (H):
Fax:		Email:
Date of Birth:
Would you please make an appointment for the above-named patient for an:
Referral Details:
Referring dentist's name:
Address:
Telephone:		Fax:
Please send any relevant radiographs/artefacts by post.
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