Patient Referrals For Dentists

When we receive your referral request, whether by post, fax or e-mail, your patient will be contacted to make an appointment. The initial consultation will take 45-60 minutes and will consist of medical and social background information, a full periodontal examination using an electronic Florida Probe and radiographs to assess the extent of the patient’s problem. All the options and choices open to the patient will be discussed in detail with patient. If it is a particularly complex case a further visit may be necessary as well taking study models or even a CT scan at the practice. A full report, periodontal chart and x-rays will be sent to you, the referring dentist, and the patient will have a written estimate of the fees involved. The radiographs will be available on request.

Simply fill in your patients details below

When the patient is ready to proceed with treatment we will make all the necessary appointments and will send you regular reports on the progress of your patient.

During treatment at the Birmingham Periodontal and Implant Centre, the patient is always reminded of the necessity of continuing to visit you, their general dental practitioner, for regular examinations and treatment.

  • Referring Dentist Details

  • Your Patient Details

  • Radiographs & Scans

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Alternatively you can print out the form

Our patient referral form can be downloaded by clicking the PDF icon above. When we receive your referral request, whether by post, fax or e-mail, your patient will be contacted to make an appointment. Referred patients will not be accepted for any treatment other than that which the referring dentist has requested.

Code of Practice

  • Referred patients will not be accepted for any treatment other than that which the referring dentist has requested.
  • A full written report will be sent to the referring dentist and a copy to the patient.
  • No treatment will be carried out without an estimate of fees given to the patient.
  • If you have any problems/queries we will endeavour to address them as soon as possible

Reasons to Refer

Non-surgical & surgical periodontal therapy

From single teeth to complete full arch reconstruction including computer guided implantology. We also provide Zygomatic implants to patients who present with severe atrophy of maxilla and can be provided with immediate function from day one.

This includes restorative treatments such as management of the worn dentition, TMJ problems as well as full range of fixed & removable prosthodontics.

This includes sinus grafting, block bone grafting using different techniques, vertical and horizontal ridge augmentation.

This includes root coverage procedures, treatment of gummy smile, crown lengthening, ridge augmentation, management of soft tissue problems around dental implants as well as tissue augmentation to increase keratinised tissue.

Fundamental to a successful practice is the relationship between patient and dentist. The Birmingham Periodontal and Implant Centre can help you the dentist maintain this relationship with your patient by offering you our expertise in specific areas. The highly experienced dentists & specialists and the support staff at the practice have many years of treating complex cases and have gained substantial knowledge and expertise in the fields of: