If you have any queries then please do not hesitate to contact us on

01622 751553

Implant Referral Form

If you would prefer to fill the form in by hand you can download a pdf by clicking on the link above. Please send it to:

The Implant Experts
3 Ashford Road
ME14 5BJ

Implant Referral Form

  • Referring Dentist

  • Patient Details

  • Date Format: DD slash MM slash YYYY
  • Further Details

  • We'll keep in touch with you regarding any courses and events we may hold, which we think you will find useful.

    Your information will be treated in accordance with our Privacy & Cookie Policy

It may not be possible to place implants in certain positions due to factors such as insufficient bone or proximity to nerve canals. Usually with these cases bone augmentation can be carried out in conjunction with implant surgery.

Every patient that you refer to our clinic will receive a pre-consultation information pack that will help your patient understand the nature of the proposed treatment and give them a broad idea of the anticipated costs. Once they have received this pack , they should telephone the clinic so that a suitable consultation appointment can be arranged.