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Referrals

 
 
 
 
 
Clinic Address (required)
 

Patient Details

Name (required)
 
 
 
 
 
Address (required)
 
Referral Reason
Implants
OPG
 
 

OPG images are charged at £45 per image. This is to be paid by the patient to the practice once the image has been taken. Please note, we do not report on radiographs and this is the responsibility of the referring dentist.
 

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