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Welcoming Referrals at The Dental and Cosmetic Clinic

Our easy referral system lets you refer your patients to us with one simple form. It is our promise to provide the best care for your patients, and we will always send referred patient back to you for their ongoing care.

We accept referrals for Sedation, Implants, Periodontal surgery, and CBCT scans.

Just complete short form below and we will get back to you.

If this is your first time submitting a CBCT referral

Click here to download our referral form and return it to us via email at info@dentalcosmeticclinic.co.uk or by post to:
Dental and Cosmetic Clinic, 14 Saffron Road, South Wigston, Leicester, LE18 4TD

Patient Details
Dentist Details
Treatment Info
Full CBCT report is also required (Additional £100)
Please upload any relevant files, images, or x-rays

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