Multi Specialist Referrals

Dentist

Patient

Details

Referral Type* Consultation and Advice only Consultation, Advice and Treatment

Specialist* Dr Vida Adib – Endodontics Dr Anastasiya Orishko – Periodontics Dr Raffaela Mattiozzi – Children’s Dentist Dr Bhavin Soneji - Orthodontics Dr Sarah Waia – Prosthodontics Dr Anastasiya Orishko – Implant Placement Dr Sarah Waia - Implant restoration

Please indicate Tooth/Teeth

Upper Right

A B C D E

1 2 3 4 5 6 7 8

Upper Left

A B C D E

1 2 3 4 5 6 7 8

Lower Right 1 2 3 4 5 6 7 8

A B C D E

Lower Left

1 2 3 4 5 6 7 8

A B C D E

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All patients who have been referred to any of our specialists will be returned back to you once treatment has been completed (unless otherwise requested). It is our policy to keep you informed at the beginning and end of treatments. If the patient has only been referred for assessment or treatment planning, a letter will be sent back to you as soon as possible.

Please feel free to contact the practice at any time if you have a question or queries or if you would like to discuss any aspect of the treatment with the specialist.