Arrange a referral

If you have a patient in need of specialist dental care, don’t hesitate to get in touch. We fully believe in opening up the dialogue and keeping you as involved in your patient’s care as possible.

We have different ways that you can make a referral

Refer by post
Download our referral form here. You can post any referral forms to our address:
141 – 142 North Street
Hornchurch
Essex
RM11 1SU

Refer online
Use our online booking form below. Just pick which specialist you wish to refer to using the drop-box.
You can also attach any radiographs and photos that you think will help us towards a precise diagnosis.

Click Here to Make a Referral Online

Making a self-referral

If you are a patient and believe you can benefit from our services, get in touch.
We are more than happy to help.

Contact Us

Click here to make a referral online

    Practice Details

    • Have you referred to us before?


  • Patient Details


  • Referral Details

    • Has the patient been given an indication of our fees?

  • Treatment Required:

    • Prosthodontics

    • Periodontics

    • Dental Implants

    • CT-scan - Small area

      (please indicate area of interest)

    • Orthodontics

  • I’d like to be informed of exclusive offers and other practice information YES

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Practice Address: 140 – 142 North Street Hornchurch Essex RM11 1SU
Opening Hours:
Monday - Thursday 08.30-17.00
Friday 8.30-16.00

Email: godental140@gmail.com Phone: 01708 459445