Self referrals

Adults and families wishing to be seen outside the health service are welcome to contact us directly.  Our treatment coordinators would be delighted to help you find out more about orthodontic treatment options.

Call Lizzie or Sharon on 01242 579358

Children under the age of 18 can access an NHS initial assessment but must be referred by their dental practitioner.

Information for referring dentists

Referring patients to Cotswold Orthodontics is very simple.  All you need to do is complete one of our referral forms.  You can either print it out and return it by post or fax, or use our online submission form below.   We are always grateful to receive relevant radiographs.

We will then contact your patient to make an appointment for consultation.  In the case of consultations that are being carried out under the NHS, this may take a few months.

» Click here to download our referral form
» Click here to complete our online referral form

Our patient protocol

  • Our aim is to ensure that both the referred patient and you the referring dentist are delighted with the quality of our clinical expertise and the level of care and attention that we provide.
  • We will only carry out the treatment the patient was referred for.  If any other problems are identified we will discuss them with you.
  • After the initial consultation, we will always provide you with a written treatment plan. No treatment will be carried out without an estimate of fees given to the patient.
  • We will ensure that a successful referral to Cotswold Orthodontics will enhance your patient’s trust in you as their dentist and they will be grateful to you for referring them to us for specialist treatment.