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 Email 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 Email 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)

Family-friendly, established, affordable, and quality dental practice in Dingwall, serving patients from all over the Highlands. We offer same-day emergency appointments where possible and are committed to creating a comfortable environment, especially for anxious patients.

Opening Times

Monday:08:00 – 19.30
Tuesday:08:00 – 19:30
Wednesday:08:00 – 19:30
Thursday:08:00 – 19:30
Friday:08:00 – 18:00

01349 866 385

Make A Referral

1. Patient Information

2. Referring Dentist

3. Referral Info

Useful links

Opening Times

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