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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. 

For more information on referrals, please email for the Belfast clinic and for the Edinburgh clinic.

Thank you.

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

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