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cambridge centre for orthodontics cambridge centre for orthodontics cambridge centre for orthodontics cambridge (01223) 350 937 cambridge (01223) 350 937
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  Referrals      
         
 

It is normal for patients who may require orthodontic treatment to see their dentist first who will then refer them to the specialist orthodontist for a consultation that may lead to a course of treatment. If, however, you are not currently registered with a dentist then it is possible to refer yourself for a consultation by completing the form and e-mailing it to the Orthodontic Practice.

Complete the box below and e-mail to the orthodontic practice where the receptionist will contact you to arrange a consultation with the orthodontist which will be free to those under the age of 18. It is recommended that you read the self diagnostic notes describing the sort of conditions that would respond to treatment because minor orthodontic conditions are unlikely to be funded by the NHS.

       
  Email Address *  
  Telephone  
  Mobile phone number  
  Patients Name :  
  DOB:  
  Address 1 :  
  Address 2 :  
  Address 3 :  
  Postcode  
       
  NHS or Private NHS Private  
       
  Briefly describe your orthodontic problem  
 
 

 
         
 
The Cambridge Centre for Orthodontics, 72 Canterbury St, Cambridge, CB4 3QF, T: 01223 350937