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Private Orthodontic Referrals

    Referring Dentists Details

    Patient Details

    Referral Options

    Additional Patient Details

    Please indicate any relevant medical information and reason for referral. Please provide as much detail as possible to allow us to provide your patient with the best care possible.

    Our policy is always to ensure patients are returned back to their referring dentists for continuation of treatment and their routine care. If you wish Loughborough Road Dental Practice to provide ongoing dental care to your patient, please confirm below.

    No, I wish the patient to be returned to my care once treatment is completedYes, I would like Loughborough Road Dental Practice to provide the ongoing care


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    Find out more

    Book your appointment: Call 0115 981 9396, Email reception@lrdp.org or Request Online