Make a referral

To refer a patient to Portman Dental & Implant Clinic, simply complete and submit the below referral form.

Please include all relevant clinical information regarding this case, and remember to attached any x-rays if relevant.

After reviewing, we will contact the patient to introduce ourselves and book them in. We will also keep you fully updated on progress throughout.

The practice is now reopen and taking new enquiries. In the short term, we will need to prioritise the first appointments for those patients with urgent care needs and initially will be limited on the treatments we can provide. We appreciate your patience and understanding. We have redesigned the patient experience to keep our patients, clinicians and colleagues safe, take a look at our guide to learn more.

Choose referral

Your details

Patient details

General assessment of dental health

Oral hygiene *

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Confirmation

Portman Dental Care Awards

Fmc Logo 2019 Winner Oby M25
Award Logo 2018
Dental Industry Award - Portman Dental Care
Private Dentistry Awards - Portman Dental Care
The Dentistry Awards - Portman Dental Care
Elite Practice Award - Portman Dental Care