Referrals welcome

At Ash Villa Dental Practice, we welcome referrals from dental professionals across Sale for a variety of our treatments. We provide a complete service, giving your patient the high standards of care and excellent experience we would wish for ourselves. We ensure we keep you, the referring dentist, informed throughout your patient’s time with us, and provide you and your patient with a full treatment plan and report.

Please fill in the form below if you would like to refer a patient to Ash Villa Dental and we will be in touch. If you are already a private patient at our practice, you can book an appointment with us as normal.

  • Patient Details

  • Type of referral

    I am referring for

  • This case

  • Implant referral

  • Oral Surgery

  • Radiographs or image

    Please include any relevant file attachment such as radiographs, clinical notes or photographs. We accept the following files: JPG, PNG, DOC, DOCX, PDF.

  • Further Information

  • Referring Dentist Details

  • *By clicking ‘Submit Secure Referral’ you are consenting to us replying, and storing your details. (see our privacy policy).

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