Referral

Website Referral Form

  1. This form is ideally to be completed in full by the referring dentist. The information provided is confidential as per our privacy policy.
  2. You will be referring your patients to a Specialist Endodontic Practice, unlike most endodontists we do not work within a general practice setting, no general dentistry is carried out at Cedars Endo.
  3. We will contact your patients within 24 hours on receipt of referral
  4. At Cedars Endo we guarantee to discharge your patients back to your continuing care following completion of their prescribed treatment
  5. Your patients will be informed of all costs and a written treatment plan will be provided following their consultation
  6. When applicable all patients are informed of the importance of a cast cusp covered restoration prior to the start of treatment
  7. With your consent we are happy to place the definitive core at completion of the endodontic treatment
  8. You will receive detailed correspondence following consultation through to treatment completion explaining our findings as well as any treatment carried out.
  9. Our fees guide:
    Specialist Endodontic Consultation: From £150
    Treatment Fees: £950.00 to £1250.00 depending on tooth type and complexity. A full written treatment plan will be provided following consultation.

Thank you for your referral and for taking the time to complete this form. A copy of the completed form will be emailed to you for your reference.

Patient Details

Referring Dentist Information

Privacy Policy

Before submitting this form please familairise with our privacy policy and submit only if you agree with them.

Referring Dentist Experience

Our clinical success rate, excellent patient and dentist
experiences are testament to our Clinical Excellence and Quality Care

Opening Hours

Monday8.00am – 5.00pm
Tuesday8.00am – 5.00pm
Wednesday8.00am – 5.00pm
Thursday8.00am – 5.00pm
Friday8.00am – 5.00pm
SaturdayCLOSED
SundayCLOSED

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