Referral form to refer a patient to Elmfiled House Dental Implant and Specialist Centre
PRIVATE TREATMENT REFERRAL AGREEMENT
Any patients referred to us by you will only be given the treatment that you have requested us to do. For any further treatment, (Maintenance, Root Canal Treatment, Fillings and any restorative work) the patient will be referred back to you, unless you advise us to carry out this treatment.
For every referral, we will write back to you both at the beginning and at the end of treatment. We will forward relevant radiographs to you.
We will always emphasize to the patient the need to see you for Routine Dental Check-ups and for any Emergency Treatment
We will always be very happy to discuss with you the treatment plan and the future management of any case
