Make A Referral

To refer a patient for treatment, please complete the form below.

1. Patient Information

Title

Full Name

Address

City/Town

Post Code

Phone Number

Alternate Phone Number

Date of Birth

Possibility of Pregnancy
YesNo

Medical History

2. Referring Dentist

Name of the practice

Name of the dentist

Address

City/Town

Postcode

Telephone Number

Has the patient been informed of the referral being private and associated costs?
YesNo

3. Referral Info

Tooth requiring treatment:

Reason for referral:

Is the tooth symptomatic?
YesNo

Other information:

On completion of treatment, what would you like me to do?

Radiographs available
YesNo

Please attach radiographs or any other relevant files here (.docx, .doc, .pdf, .jpg, .png and .dcm only. Max file size 2mb)

Inverurie Smile Care Dental Practice. Dental practice near Aberdeen. NHS and private dental practice offering Dental Implants and cosmetic procedures such as Invisalign.

Award-winning, established, affordable, and quality dentist serving the communities of Inverurie, Kenmay, Kintore, Blackburn, Oldmeldrum, Pitmedden, Dyce, Rothienorman, and sections of Aberdeen. Same-day emergency appointments where possible. Family-friendly and nervous patient-focused dental practice in Aberdeenshire.

Opening Times

Monday:08:00 – 20.00
Tuesday:08:00 – 20:00
Wednesday:08:00 – 20:00
Thursday:08:00 – 20:00
Friday:08:00 – 18:00

01467 629 909

Make A Referral

1. Patient Information

2. Referring Dentist

3. Referral Info

Useful links

Opening Times

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