PATIENT REFERRALS

Submit your patients details for orthodontic treatment…

Patients of all ages are welcome to the practice for Orthodontic treatment. We treat both NHS and private patients of all ages from school children to retired professionals. Patients
are never too old for Orthodontic treatment and it can greatly improve their confidence.

Please use the ‘Dentist Referral Form’ below to refer your patients to our Orthodontic Practice. Please fill in all the required fields and if you have any further information that will aid treatment please fill in the “Additional Information box.”

If you are a patient wishing to refer yourself for private treatment please use our ‘Self Referral Form’ click here or go to patients referral page, thank you.

Meet The Team

We would love to hear from you

Contact us for more information

TEL: 01749 675 825
EMAIL: enquiries@wellsmile.co.uk