Make a referral

To refer a patient, simply complete and submit the referral form below.

Please include all relevant clinical information regarding this case, and remember to attached any x-rays if relevant.

After reviewing, we will contact the patient to introduce ourselves and book them in. We will also keep you fully updated on progress throughout.

Make a referral to Bill Seddon

To refer a patient to Bill Seddon, please click below:

Patient details (step 1)

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Please check that the following fields have been filled out correctly:

    Referring Dentist Details (step 2)

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    Please check that the following fields have been filled out correctly:

      Referral Details (step 3)

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      General assessment of dental health

      Oral hygiene *

      - Please note that only the following file types are supported: jpeg, jpg, png, gif, pdf, doc, docx, xls, xlsx, rtf, ppt, odt.
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      Other records sent via post
      Final restoration to be placed by:
      Confirmation

      Please check that the following fields have been filled out correctly:

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