New Patient Enquiry
Contact information, opening times and enquiry forms.

Dear Doctor
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Dentist Referral Links
Dental professionals wishing to make referrals for specialist treatments and implants will find further details here.

Dental Implants Worcester Worcestershire


Non Implant Referral

At Evesham Dental Health Team we are very grateful and honoured to accept referrals from our professional friends and colleagues. We will always respect this privilege by taking our utmost care, provide the requested advice / treatment and following completion return patients to their own practice for ongoing dental care.
Please complete the following details, if you would like to attach any photographs, radiographs or notes, please respond to the confirmation email you will shortly receive.

Practice Details
Patient Details
  3. Yes No
Richard Colebourne Paul Kidman Either
Service(s) required (Please tick relevent boxes)
  1. Sedation
  2. Care of Anxiety
  3. Whitening
  4. Restorative Dentistry
  5. Occlusal Therapy
  6. Dentures
  1. Endodontic Therapy
  2. Periodontal Care
  3. Oral Surgery
  4. Orthodontics
  5. Facial Aesthetics
  6. Complete Care
History (Comments about this referral)
Additional Information
  1. Patients existing knowledge of treatment required Low Medium High
  2. Has the patient been made aware of the level of investment that may be required? Yes No
  3. Would you like to attend during the patients visit? Yes No
Aim of Referral
  1. Opinion only
  2. Opinion & treatment of specific area only
  1. Comprehensive care as necessary
  2. Transfer of patient care to EDHT


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