Home > Contact > Refer a Patient If you would like to refer a patient to the dental rooms the options are 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 view here (opens in a new window) To save PDF: Right-click on link and select "Save Target As..." Instructions: Please can you download the referral form and either, email, fax, or post with the 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 Choose Prosthodontics Periodontics Implants Orthodontics Endodontics Surgical Dentistry Reason for Referral Relevant Medical History Priority Choose Urgent Non Urgent Radiographs Please email or post radiographs separately.

back to top   Copyright © Dental Rooms. Dentist in Wimbledon Village, SW London. All rights reserved. Dental Marketing & Dentist Websites by Dental Focus Web Design.