Make a Patient Referral

TAKING GOOD CARE OF YOUR PATIENTS IN MANCHESTER

Clinical Patient Referral

Please find below our referral form. Please provide as much information as possible, should you require to contact us for any further help then please contact us on 0161 713 3655. Should you require a hard copy of our referral form then please click here.

Treatment required, please tick as appropriate. Please note that our consultations are redeemable against treatment if patients proceed with the treatment, charges apply for any additional items required for treatment planning. Please note all prices are only provided for an indication

Nervous Patients (IV sedation £95 per session plus treatment) *

REFER A PATIENT | CONTACT US

Dental at MediaCityUK
MediaCityUK , 1st Floor Car Park Blue, The Garage, Salford Quays
Manchester M50 2TG
Reg No. 10020005
Tel: 0161 207 3655

Legal | Offer Terms & Conditions