Dental Referrals

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.

Referring dentist name

Referring practice name

Practice address

Referring dentist email

Dentist work phone number

Patient Details

Patient name

DOB

Patient address

Patient email

Patient home phone number

Patient mobile number

Please indicate referral treatment needs in the relevant sections below:

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What Our Patients Have To Say

Iman

Patient

Terri McWilliams

Patient

My first time visit was exceptional. Dr. Dancy’s team of professionals were warm, personable & courteous. The hygienist that cared for my teeth cleaning was “spot on.” His technique was great. I highly recommend Start Smiling for your dental care needs and I will be back.

Peggy Madden

Patient

Amazing staff, Bianca did an excellent job, explained everything she was doing and the results. My teeth thank you! Dr. Patel explained what she feels needs my attention and understands my situation. Ashley was very informative on my check out. Very happy to be a new patient!

Anonymous

Patient

Have been going to Start Smiling for as long as I can remember. I am an older person but still want a good smile. Natalie the hygienist is lovely. Receptionists are always polite and friendly. Tom, my dentist, is good. I’ve never felt worried or anxious when I go.

Anonymous

Patient

My dentist is Tony Aneiros. He has been my dentist for many years. I have full confidence in his skills, and he has always been very professional when caring for my teeth. He has a friendly manner and is mindful to keep patients at ease and pain-free. We recently moved and now live quite far from the surgery, but I have no intention of changing dentist.

Anonymous

Patient

Exceptional professionalism and dedication to the highest level of dental care. They go above and beyond, time after time. — Graeme

Anonymous

Patient

I was a nervous patient at the start of my treatment, but Dr Tom has completely restored my faith in dentists. I had root canal treatment and old silver fillings replaced with white onlays, and they are so much better. I can honestly say I’m no longer nervous or worried about going anymore. All the receptionists and dental assistants are so lovely too!

Areas We Serve

Ingatestone

Romford

Harold Wood

Brentwood

Hutton

Chelmsford

Upminster

Hornchurch

Billericay

Warley

Stock