Referral

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We are happy to see any patients for an appointment to assess their suitability for orthodontic (brace) treatment, whether they are a patient of our practice, or have a dentist elsewhere.

All under 18's are eligible for a free NHS consultation.

The fee for a private consultation is £93, further fees for study models £23 and x-rays £32 normally required

Please ask your dentist to arrange a referral via Tameside and Glossop ABC for NHS treatment

or directly with ourselves for Private treatment.

If you prefer you can refer yourself direct. 

                                                                    Please contact us by:-

                                                                                   phone 01457 852004

                                                                                   e-mail 

                                                                                   or by calling in,

                                                     alternatively please fill in the form below:-

First Name *
Surname *
D.O.B. *
E-mail Address

*

Please check typed correctly

 

Address

*
Home Tel Number
Day time Tel Number
Are you an existing patient? Yes No*  Braces Only 
How would you like us to reply?   E-mailPost Tel(h) Tel(w) 

 

Any Comments

 

 

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