Refer a Patient

Referral process

What happens after you refer

Appointment arranged

Once a referral has been received, the patient will be contacted directly to arrange a consultation at the most appropriate practice location.

Consultation & diagnosis

During the consultation, the tooth will be carefully assessed using clinical examination and, where required, advanced CBCT 3D imaging. The diagnosis, treatment options and prognosis will be explained clearly before any treatment begins.

Report to your practice

Following treatment, a detailed report will be sent to the referring dentist outlining the procedure carried out and recommendations for the final restoration.

Cases accepted

Endodontics

✓ Root canal treatment
✓ Root canal re-treatment
✓ Complex & multi-rooted
✓ MTA placement
✓ Ledge & broken file management
✓ Resorption & perforation
✓ Endodontic microsurgery

Restorative

✓ Tooth wear management
✓ Full mouth rehabilitation
✓ Dahl restorative cases
✓ Occlusal splint therapy
✓ Composite bonding
✓ Dental veneers
✓ Smile makeovers
✓ General restorative

Referral Form

Please complete all fields where possible.

Referring Dentist / Practice

Your Name *

Practice Name *

Email *

Phone

Practice Address

Patient Details

Patient Full Name *

Date of Birth *

Patient Phone Number *

Patient Email

Patient Address

Clinical Details

Reason for Referral *

Tooth / Teeth (URS notation if possible)

Clinical History & Notes *

Relevant Medical History

Urgency

Imaging Available

Upload Imaging & Files

Accepted formats: JPG, PNG, PDF. Please email files directly to info@amanphullendo.co.uk if large.

I confirm I have the patient's consent to share their details and that this referral complies with my practice's data handling obligations. Privacy Policy

What happens after you refer

Appointment arranged

Consultation & diagnosis

Report to your practice

Referral Form

Not sure if a case is suitable?