PATIENT SELF-REFERRAL

After submitting your self-referral, we will contact you shortly!

Patient details

Click or drag files to this area to upload. You can upload up to 8 files.

By submitting this form, you are aware of the consultation fee at Sunrise Dental Clinic

  • Orthodontic consultation with the Specialist Orthodontist/ Free
  • Paediatric consultation with the Specialist Paediatric Dentist/ £200
  • Paediatric consultation with Dentist with Special Interest in Paediatric Dentistry/)/ £150
  • Consultation with Specialist Oral Surgeon/ £150
  • Consultation with General Dentist/ £110
  • Consultation Jaw Joint and occlusion Expert/ £150
  • Hygiene First Visit/ £120

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