How to make a referral

Orthodontic Referral Form to Stephen Matterson BDS Specialist Orthodontist

To refer your patient for Private Orthodontic Treatment, please fill in the Dentist Referral Form below and submit OR download and post to us by clicking on the picture link on the Right of the screen.

NHS referrals should be sent on a different referral form via a secure e-mail address.

By submitting this enquiry form, Lancashire Orthodontics will securely collect your details. Please read our Privacy Policy on how we protect and manage your submitted data. You will be able to ask us for details of the personal data we hold on you, or ask us to delete it. We will never share your details with a third party.

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Dentist Referral Form