Make a referral

To refer a patient to Capel Dental Care, simply complete and submit the below referral form.

Please include all relevant clinical information regarding this case, and remember to attached any x-rays if relevant.

After reviewing, we will contact the patient to introduce ourselves and book them in. We will also keep you fully updated on progress throughout.

If you are referring a patient for a CBCT scan, please use the 'reason for referral' field (step 3) to specify the area that needs to be scanned.