Dental Referrals

Our state-of-the-art clinic is modern, welcoming, and designed with your comfort and accessibility in mind. Our facility and surgeries are all on the ground floor, and we have a wheelchair accessible car park, entrance, bathroom, and seating so all our patients can get the care that they need. Hilton Dental Clinic is also a specialist referral centre, receiving referrals from around 50 practices across the East Midlands for complex extractions (including impacted wisdom teeth) and dental implants.

Patient Details

Patient Name(Required)

First Last

Patient DOB(Required)

Email(Required)

Phone(Required)

Reason for referral(Required)

Bitewings(Required)

Yes

Orthopantomogram(Required)

Yes

CBCT(Required)

Yes

Periapical(Required)

Yes

Dentist Details

Dental Practice Name(Required)

Dentist Name(Required)

First Last

Practice Email(Required)

Practice Phone(Required)

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Max. file size: 200 MB.

Monday	: 08:30 - 5:00
Tuesday	: 09:00 - 5:30
Wednesday	: 08:30 - 5:00
Thursday	: 08:30 - 5:00
Friday	: 08:30 - 4:00
Weekends	: Closed