Refer Your Patient

This form is intended for GDC registered dentists to refer patients to us only. If you are a patient please go to our Get in touch page.

Dentist Details

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Patient Details

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Referral Treatment Details

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Radiographs & Clinical Record

This form is intended for GDC registered dentists to refer patients to us only. If you are a patient please go our Contact Us page to get in touch.

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Where You Can Find Dr Thelma

Alternative Dr Thelma Dental Care logo.

The Old Church Dental

Leeds Rd, Hipperholme,
Halifax HX3 8NU

Mon - Fri: 9:00 AM - 4:00 PM

Alternative Dr Thelma Dental Care logo.

Bupa Dental Care Bolton - Chorley Old Road

530 Chorley Old Rd, Bolton
BL1 6AB

Mon - Fri: 9:00 AM - 4:00 PM