Refer a Patient  
Home > Contact Us > Refer a Patient at Dental Rooms Wimbledon, SW London
If you would like to refer a patient to the Dental Rooms the options are by:

By Phone Call on
020 8946 2426

By Fax on
020 8944 9318

By Email to info@dentalrooms.co.uk

By Letter to

Dental Rooms
1 Ridgway
Wimbledon Village
London
SW19 4RS
  PDF Referral Form
PDF Referral Form view here (opens in a new window)
PDF Hygienist Referral Form view here (opens in a new window)
To save PDF: Right-click on link and select "Save Target As..."
Instructions:
Please download the PDF referral form and either email, fax, or post withthe relevant details and x-rays.



Use the Online Referral Form
Fields in bold are required.

Dentist's Name
Dentist's Address
Dentist's Tel (w)
Dentist's Tel (h)
Dentist's Tel (m)
Dentist's Email
Patient's Name
Patient's Address
Patient's Tel (w)
Patient's Tel (h)
Patient's Tel (m)
Patient's Email
Dental Specialty
Reason for Referral
Relevant Medical
History
Priority
Radiographs Please email or post radiographs separately.
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