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Implant referrals to Dr Richard Colebourne

At Evesham Dental Health Team we are very grateful and honoured to accept referrals from our professional friends and colleagues. We will always respect this privilege by taking our utmost care, provide the requested advice / treatment and following completion return patients to their own practice for ongoing dental care.

How to make a referral:

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Practice Details

Practice Address

Patient Details

Patient Address

Referral Details

Additional Information

Radiographs & Clinical Photographs

If you would like to attach any radiographs, clinical photographs or any documents that you feel would be of use, please use the upload facility below.
Click or drag files to this area to upload. You can upload up to 4 files.
Patient Consent
I confirm I have the requisite authority to share the patient's information in connection with this referral.

Looking for Non-implant or CBCT 3D/OPT 2D Referrals? Please click on the button below.

Implant Referrals CBCT 3D/OPT 2D Referrals

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