Refer Your Patient

When we receive your referral request your patient will be contacted to make an appointment. There will be an initial consultation and if it is a particularly complex case a further visit may be necessary. You will receive a full report, periodontal chart and x-rays. During treatment we will send you regular reports on the progress of your patient.

The PDF of the form can also be printed and sent by post, fax or attached to an e-mail.

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.

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 BPI Dental the patient is always reminded of the necessity of continuing to visit you, their general dental practitioner, for regular examinations and treatment.

  • 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

Online - Patient Referral Form

Step 1 of 3

Referring Dentist Details

Dentist Name(Required)

Reasons to Refer

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 and 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:

Non-surgical & surgical periodontal therapy.

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

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.

Within our dedicated endodontic facilities, Dr Sukdev Singh and Dr Shuva Saha work with the latest obturation and canal preparation techniques. Both welcome referrals for all types of endodontic therapy; including root canal therapy, endodontic re-treatment, endodontic surgery, treating cracked teeth and treating dental trauma.

Oral surgery -This includes the removal of Impacted third molars, fractured teeth/roots, cysts, apicectomies and soft tissue lesions. All procedures can be done under Sedation (both Oral & Intra-venous) by an Specialist in Oral Surgery.

Print - Patient Referral Form

Alternatively you can print out the referral form

Our patient referral form can be downloaded by clicking the PDF icon. 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.

Professional Dental Courses - Verified CPD

Handle more complex cases independently!

BPI Education aims to deliver advanced dentistry courses that provide the GDP with the skills and knowledge required to handle more complex cases independently. You may extend the many benefits of our courses to your own patients without having to refer to a specialist.

Soft Tissue Around Dental Implants Course – 13hrs CPD

Course Overview – Two day “hands-on” course with the latest plastic periodontal surgery techniques used around dental implants to improve and maintain aesthetics & longevity.

Surgical Crown Lengthening Course – 7hrs CPD

Course Overview – A one-day lecture a and hands-on course delivering an overview of cases and techniques where crown lengthening can be applied in practice.