Dentist Referral Portal — West Byfleet, Surrey

Refer a Patient to
York House Dental Practice

We are proud to partner with general dental practitioners across Surrey and Hampshire. Complete our secure online referral form below to refer your patient for specialist or advanced dental treatment.

Strict Patient Continuity
Specialist & Advanced Care
Prompt Clinical Reports

Submit Online Referral Call 01932 348864

York House Dental Practice practitioner referral team

Online Referral Form

Submit Patient Referral

Please complete the details below. Required fields are marked with an asterisk (*).

Patient Information

Patient First Name *

Patient Last Name *

Date of Birth

Patient Phone Number

Patient Email Address *

Patient Postcode

Patient Address *

Reason for Referral / Treatment Required

Additional Clinical Information / Message

Upload X-Rays, Scans & Photos (Optional — Max 5 files, up to 8MB each)

Click to browse or drag & drop files here

Supports JPG, PNG, PDF, DOCX, ZIP, DICOM (.dcm)

Referring Practitioner & Practice Details

Dentist First Name *

Dentist Last Name *

Practice Name *

Practice Phone Number

Practice / Dentist Email *

Practice Postcode

Practice Address

Target Clinic Location

Patient Consent & Confirmation

Clinical Services

Referral Services We Provide

Our clinicians accept practitioner referrals across a broad range of dental disciplines.

Dental Implants

Single tooth implants, full-arch restorations, bone grafting & sinus lifts using premium implant systems.

Specialist Oral Surgery

Impacted wisdom teeth extractions, surgical tooth removal, apicectomies & complex oral surgical care.

Cosmetic Dentistry

Composite bonding, porcelain veneers, smile redesigns & teeth whitening under expert care.

Invisalign & Orthodontics

Clear aligner therapy for simple to complex malocclusions with 3D digital iTero scanning.

Endodontics

Complex root canal treatments, re-treatments & broken instrument removal using high magnification.

Periodontics

Advanced periodontal management, pocket reduction & regenerative periodontal therapies.

3D CBCT & Digital Imaging

High-resolution 3D CBCT scans & digital OPG radiographs for implant planning & surgical mapping.

Dental Sedation

IV & conscious sedation options for nervous, phobic, or surgical patients to ensure maximum comfort.

Our Guarantee

Our Charter for Referring Practitioners

We treat every referred patient with the utmost clinical care and uphold complete integrity in our relationship with you.

Strict Patient Continuity

We respect your practitioner-patient relationship. We will only perform the specific treatment requested and return your patient back to your care upon completion.

Clear Clinical Communication

You will receive full written treatment reports and digital copies of all radiographs, scans, and photographic records throughout your patient's treatment journey.