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Refer a Patient

Please fill in the form if you wish to refer your patients to us.

Dentist Referral Form for CT Scans and OPT

You can refer your patient by completing the referral form below. Alternatively, you can download a copy of the referral form and send it to the practice via post or email.

  • Referring Dentist Details


  • Patient's Details


  • Relevant Medical History


  • Referral Information


  • Scan Required


  • Additional Information


Dentist Referral Form for Implants & Oral Surgery

You can refer your patient by completing the referral form below. Alternatively, you can download a copy of the referral form and send it to the practice via post or email.

  • Referring Dentist Details


  • Patient's Details


  • Relevant Medical History


  • Treatment Required


  • Additional Information


Dentist Referral Form for Orthodontics

You can refer your patient by completing the referral form below. Alternatively, you can download a copy of the referral form and send it to the practice via post or email.

  • Referring Dentist Details


  • Patient's Details


  • Relevant Medical History


  • Referral Type


  • Dental History


  • Clinical Condition


  • Relevant Radiographs


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Welcome to DHC Grantham

Committed to providing you with the very best in dental health care

Our dedicated and professional team at the Dental Health Centre in Grantham aims to change lives with modern dentistry. Our modern practice has been decorated with our patients in minds. It is equipped with the latest in dental technology to provide a painless, precise and perfect outcome.

Meet the team

Our warm, friendly and professional team looks forward to meeting you and your family.

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