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Refer to us by online

This form below is for the convenience of dentists who wish to refer patients to one of our team members for specialist treatment

Please inform your patient that we ask for a deposit (except for free consultations) that is transferable with 48hrs notice for all of our appointments. The deposit is then deducted from the cost of the treatment.

Enter your referral details below.

Patient Details

Select at least one.

Referring Dentist's Details

If you need to attach files, please send them by email to

Refer to us by email

Please kindly attach digital x-rays and photo’s that you feel appropriate along with either a covering letter or a completed scanned copy of our referral pro-former.

Please click here to email the referral centre.

Refer to us by post

Please complete referral pro-former (click here) and enclose any hard copies of radiographs you feel appropriate. Our address is:

Waterside Dental Health
1 – 2 Raleigh House
Admirals Way
E14 9SN

NHS Referrals

For NHS Specialist Endodontic and Periodontal Services (ONLY for patients in Tower Hamlets) please see the following documents for your reference and use.

Referral criteria and referral form for Periodontal referrals
Referral criteria and referral form for Endodontic referrals