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

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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


Implant Referral Form

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
Referral Details
  1. Service(s) required: Opinion Only Implant placement & restoration Comprehensive dental care
  2. Implant requirement: Single tooth missing Multiple teeth missing Totally edentulous jaw(s)
  3. Affected Areas: Upper Lower Both
Brief 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

Get In Touch

We hope our website has given you an insight to our practice and how we like to work. We welcome any questions and hope we’ll have the opportunity to talk with you soon.

Please telephone 01386 422833 or contact us online (to ask a question, request a call back or make a new patient enquiry).


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