Dental Referrals - Hilton Dental Clinic

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.

Referring Practitioner Details

Dentist Name — First

Please complete this field.

Dentist Name — Last

Please complete this field.

Practice Address — Street Address

Please complete this field.

Practice Address — Address Line 2

Practice Address — City

Please complete this field.

Practice Address — Post Code

Please complete this field.

Practice Phone

Please complete this field.

Practice Email

Please complete this field.

Patient Details

Patient Name — First

Please complete this field.

Patient Name — Last

Please complete this field.

Patient Date of Birth

Patient Address — Street Address

Please complete this field.

Patient Address — Address Line 2

Patient Address — City

Please complete this field.

Patient Address — Post Code

Please complete this field.

Patient Phone

Please complete this field.

Patient Email

Please complete this field.

Referral Details

Please provide further information to help us understand why you are referring this patient:

Please complete this field.

X-Rays / Other Scans

JPG, PNG, TIFF, PDF, DICOM or a ZIP — up to 25 MB each, three files. A study exported straight off a PACS or a CD often has no file extension (IM_0001, DICOMDIR); those cannot be accepted, so put the study in a ZIP and send that instead.

X-Rays / Other Scans — second file

X-Rays / Other Scans — third file

Prefer to talk it through? Phone 0115 923 2907, or find us at 1 Hilton Crescent, West Bridgford, Nottingham, NG2 6HT.