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Referrals

Working with you to deliver the best care.

Welcoming referrals from dentists across Lincolnshire and surrounding counties.

How to refer

Use the online form below. We'll respond within one working day.

Referral services accepted

  • • Cosmetic
  • • Implants
  • • Oral Surgery
  • • Periodontics
  • • Endodontics
  • • Prosthetics
  • • Other

Online referral form

This form is submitted securely via encrypted connection (HTTPS).
Patient information
Reason for referral
Clinical notes and reason for referral *
Referring dentist

Data protection

This form collects patient health information, which is classified as special category data under UK GDPR. By submitting this referral, you confirm that:

Read our privacy policy

Data controller: Grand Dental Ltd, trading as North Street Dental Practice. Referral data is stored securely in our practice management system and retained in accordance with dental record-keeping requirements (minimum 11 years). Contact: reception@northstreetdental.co.uk

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