Guildhall Dental Waiting Room
Guildhall Dental Treatment Room
Dentist Referrals

Periodontology Referrals

A dedicated referral service for Bury St Edmunds, Suffolk

If you have referred your patients to us before, we would like to take this opportunity to thank you for your continued support. If you are a new referring practitioner, welcome to Guildhall Dental.

We welcome referrals for Specialist Treatments in Oral Surgery and Endodontics and we also offer a referral service for Dental Implants, Periodontology, Prosthodontics and both traditional Orthodontics and Invisalign services.

For urgent referrals please telephone our reception team. As always, our implant surgeon and specialists are always happy to talk to you directly on 01284 755631.

Refer To Us Online

Please complete our online referral form below.

PATIENT TITLE

PATIENT FIRST NAME

PATIENT LAST NAME

PATIENT DATE OF BIRTH

PATIENT ADDRESS

PATIENT TELEPHONE

PATIENT EMAIL ADDRESS

TREATMENT REQUIRED

ORAL CONDITION

PAIN

PERIODONTAL STATE

SWELLING

MEDICAL HISTORY/CLINICAL NOTES/OBSERVATION

REFERRING DENTIST NAME

REFERRING DENTIST EMAIL

GDC NUMBER

REFERRING DENTIST ADDRESS

If you would like to attach radiographs or clinical notes, please use the upload facility below. The file types to upload are JPEG, PNG, PDF, and ODT. There is a 3 MB limit per upload area.

Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

Julie – Periodontology Patient

“”When I first saw my smile, it was very emotional. It was a long time since I’d actually felt that I could smile. And when they held the mirror up, it was an amazing feeling. Really amazing. And a lot of people have commented since that I keep smiling and that I must be finding things funny because they’ve never seen me smile so much.”

Testimonials

What Our Patients Say