Patient referral

At The Endodontic Practice, we welcome referrals for all aspects of endodontic treatment. We aim to provide a consistently high standard of treatment and care and will keep you updated throughout your patient’s treatment journey with us.

How to refer

Referral can be made by letter, email, via our website or phone. It is useful to inform the patient that the referral is on a private basis.

Any relevant radiographs are useful.
Your patient will be contacted by telephone and an appointment scheduled. They will be provided with directions and an estimate of cost.
Under no circumstances will any patient be accepted for general dental treatment following referral.

You can also download our referral form or complete our online referral form below:

Dentist details

Referrer name*

Email address*

Telephone number

Practice name

Practice address

Patient details

Full name*

Date of birth

Email address*

Telephone number

Patient address

Referral details

Treatments required

Medical history and relevant information

Radiographs & Clinical Photographs

If you would like to attach any radiographs, clinical photographs or any documents that you feel would be of use, please use the upload facility below.

Upload any supporting radiographs, images or documents (Max 15MB)Upload

I confirm I have the patient’s consent to share this information, and also consent to The Endodontic Practice replying and storing these personal details (please see our privacy policy for more information).

Refer your patient with confidence

Simply complete our online referral form or, if you prefer, download and post your referral to us. Please contact us if you wish to discuss a potential referral by telephone or email.

Start your patient referral

The Endodontic Practice

15 Penn Hill Avenue, Parkstone,
Poole, Dorset, BH14 9LU

Opening Hours:
Mon to Fri: 8:30am – 5:15pm
Closed for lunch between 1:00pm & 1:45pm