Referring Practitioner
Patient Details
Supporting Documents
Tooth/Teeth to be treated (tick as appropriate)
Top Left
Top Right
Bottom Left
Bottom Right
Discipline Required
Oral Surgery
Invisalign (Complimentary)
Botox (Complimentary)
Extra Information
Sedation required?
Is this case URGENT?

All patient’s who have been referred to Ethicare Dental will be returned to you on completion of treatment. You will be kept fully informed throughout your patients progress both at the consultation stage and following treatment. If your patient has been referred for consultation advice you will be contacted as soon as possible regarding this advice.

If you have any concerns or questions or would like to discuss any aspect of your patient’s care with the specialist please do not hesitate to contact the practice.

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Our beautiful new practice is located at:
250 Upper Richmond Road, Putney, London, SW15 6TG

Areas we serve: Putney, Wandsworth and surrounding areas

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Opening times

Monday08:45 – 18:00
Tuesday08:45 – 21:00
Wednesday08:45 – 18:00
Thursday08:45 – 18:00
Friday08:15 – 17:00
Saturday09:00 – 14:30

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