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Online referral for dentists

You can either complete the online referral form below or fill in the pdf file and email it to us.

Please note: NHS referrals are only for patients aged 17 and under

Brixton referral form

We are happy to provide orthodontic consultations for your patients. Please refer your patients by using this online referral form. Please note that NHS referrals are only for patients aged 17 and under.