Referral Form
Referral Form
To refer a patient, Complete our secure online referral form and submit. Click the button To fill the form
To refer a patient, simply complete and submit the appropriate referral form. Please ensure all relevant clinical information is included, and don’t forget to attach any x-rays, if applicable.
Referral Options:
- Online Referral:
Complete our secure online referral form with the patient’s details and treatment requirements. - Email Referral:
Send the patient’s details and treatment needs to us directly at:
info@frederickstreetdental.co.uk - Phone Referral:
Call us on 0131 629 1158 to discuss the patient’s details and treatment requirements with a member of our referral team. - Postal Referral:
Post the patient’s details and treatment needs to:
57 Frederick Street, Edinburgh, EH2 1LH