Patient Referrals

Cassiobury Dental Practice takes on referrals for:

Dental Implants
Oral surgery-extractions,Biopsies
Endodontics-root canal treatments,re-root treatments,apicectomies,diagnosis.
Periodontics-gum treatments surgical and non-surgical.
Prosthodontics-advanced crown and Bridge work, full mouth re-constructions, Dentures,Smile-Make-overs.
Orthodontics- Adult and child Braces,Clear braces, invisalign, Inman Aligners, 6 monthly smiles.
Halitosis Clinic-using Halimeter
HealOzone-drill free, no Pain, no Injections
Facial Rejuvenation treatments-Botox, Dermal Fillers
Hygienist Services

If you would like to refer a patient to us:

Phone 01923 223 278

Email drsongra@cassioburydental.com

Fax 07000 647427

If you prefer, you can use our online form and post other relevant details and xrays.

Online Patient Referral Form

Please fill out this form and we will get in touch with you shortly.

Patient Details
Date
Patient Name
FirstLast
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Date of Birth
Home Phone
Mobile Phone
Email
Type of Referral
Referred Before
X-rays included
Referrer Details
Referring Practitioner
Name
FirstLast
Email
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Phone
Fax

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