FOR DENTAL PROFESSIONALS

Orthodontic referral

Refer your patient for an orthodontic assessment.

Start referral

Patient Name

First

Last

Date of Birth

Patient Phone Number

Patient Email

Address

Relevant Medical/Dental History

Reason For Referral

IOTN

Skeletal Overjet

Overbite

Crowding

Hypodontia

Xray/OPG Upload

Optional. Attach one JPG, PNG, WebP or PDF file (maximum 3 MB). For larger X-rays, please contact Friern Barnet to arrange secure transfer.

Dentist Name

Dentist Email

Dentist Address

Dentist Phone Number

A little clarity starts with a conversation.

You do not need to have decided on treatment. A consultation is £30: time to share what matters to you, ask questions and explore the options that may suit you.

For planned treatment. Additional scans or investigations may cost separately; emergency assessment fees differ. Please confirm when booking.

Book a £30 consultation Ask about your smile

Orthodontic referral

A little clarity starts with a conversation.

Choose your practice.

Choose your practice.

What would you like help with?