For Dentists


We are happy to receive NHS and Private referrals. If you would like a copy of our fees guide, please phone the practice on 01722 340034 or you can email us at

Please do get in touch if you have any questions or if you would like us to send some flyers for you to have in your waiting room.

If you would like to refer a patient then please complete one of the forms below and return to the practice.

Please complete and sign this form and send back to us at:


Click here to open the NHS-Wiltshire-Orthodontic-Referral-Form

OPG Referral Form

Referring dentists, please complete this form and email it back to us at

Click here to open the OPG Referral

Private Referral Form

For Private referrals, please complete the fields below and we will get in touch with your patient directly to make an appointment.