Dentist Referrals

Oral Surgery Treatments:

• Dental Extractions including for orthodontic treatments
• Wisdom Tooth Extraction
• Apicectomy
• Exposure of Unerupted Teeth
• Minor Soft Tissue Surgery including Frenectomy
• Removal of Benign Lumps and Bumps
• Dental Implants
• Bone Grafting for Dental Implants

The procedures listed above can be carried out with local anaesthetic only, intravenous or inhalational sedation. We are very happy to answer your questions over the phone as well as give an approx. appointment timescale, confirm an estimate to fees and discuss treatment procedures with members of your dental team.

 

How to make a Referral:

It is important to include the following information. This helps us to assess the appointment needs of the patient and ensures a smooth communication between referrer and the Peppermint Team.

Please inform your patient that we are a wholly private dental Practice and that charges will apply, we do not provide NHS dental treatments, a full breakdown of those charges will be provided to your patient.

Information required on the referral form includes:

• Patient Name, Address and D.OB
• Patient Contact Details including phone (home and mobile) & email
• Medical History including BMI and relevant social history
• Procedure Required
• Intravenous / Inhalational Sedation required
• Radiographs sent digitally to info@peppermintdental.co.uk
• Your Name as the referring dentist, Practice Name & Address
• Your Contact Details including email address
• It’s simple to refer, just download our referral form using the link below. Regrettably, we cannot accept verbal referrals without support of a completed form

Download Referral Form

Panoral Referrals:

If you have a patient who requires a panoral radiograph, this can also be referred to us by downloading our OPG referral form using the link below. Once the referral has been received, a member of our team will contact your patient to arrange a mutually convenient appointment. They will be asked to complete a medical history upon arrival and the entire visit should take no longer than 10 minutes. The panoral can be sent instantly via email, or we are happy to provide on a disc or printed version if preferred.

Download Panoral Referral Form

CBCT Scan Referrals:

If you have a patient who requires a CBCT Scan, this can also be referred to us by downloading our CBCT referral form using the link below. Please also complete a CBCT referral SLA and send on first use of our service.

Once the referral has been received, a member of our team will contact your patient to arrange a mutually convenient appointment. They will be asked to complete a medical history upon arrival.

Download CBCT Referral Form

Download Service Level Agreement CBCT Scan

Fee Scale for Referral Patients:

Consultations:
Surgical Consultation – £100.00
Implants Consultation – £250.00

Implants – from £2,676.00

Panoral Radiographs – £87.00

Extractions:
One Surgical Extraction – from £340.00
Wisdom Tooth Extraction – from £383.00
All Four Wisdom Teeth – from £511.00
Orthodontic Extractions – from £365.00

Apicectomy – from £511.00

Exposure of unerupted Teeth – from £365.00 Time dependent

Minor Soft Tissue Surgery – from £255.00 Time dependent

Sedation:
Inhalation Sedation – add on fee of £166.00
Intravenous Injections – add on fee of £221.00