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Referrals

Please click below for a form for any referral to PCDS.  We will need information about the patient, including medical history and exemption status.

All patients are subject to standard NHS dental charges. For further information about NHS charges please click here.

For further information about our acceptance criteria for referrals, including domiciliary visits please click here.

For guidance on referrals for non-dentists please click here.

For further information about domiciliary visits please click here.

WE DO NOT ACCEPT SELF-REFERRALS TO PCDS. IF YOU THINK YOU SHOULD BE SEEN IN PCDS PLEASE ASK A HEALTH OR SOCIAL CARE PROFESSIONAL (e.g. your GP, health visitor, social worker) TO MAKE THE REFERRAL USING ONE OF THESE FORMS.

Referral form for dentists - adult & child patients
Click below for referral form for dentists -special care adult patients.
arrow Adult & child referral form (dentists)
Referral form for HSCPs - adult patients
Click below for referral form for non-dental health and social care professionals, including GPs - adult patients.
arrow Adult referral form (health & social care professionals)
Child referrals by HVs and School Nurses
Health Visitors, School Nurses and other allied health professionals - for at risk children please use the form embedded in SystemOne, EMIS or similar software.
arrow .