Skip to main content

Implant Referrals

Please complete the form below for dental implant referrals to New Life Teeth. Your enquiry will be forwarded to the associated clinician required at our Edinburgh or Belfast clinic. 

Thank you.

Practice Details
Patient Details
Referral Information
     Please tick as required:
Referral Notes
For Edinburgh Clinic Referrals
For Belfast Clinic Referrals

Arrange a free consultation > or give our Edinburgh clinic a call on 0131 564 1822 or our Belfast clinic on 0289 521 7533