To refer a patient to the Kensington Clinic, you can call the practice on: 0207 603 3008 or email us at: email@example.com
Alternatively, please fill the form below:
Referring Dentist Name (required)
Referring Practice Name (required)
Referring Practice Email (required)
Patient Name (required)
Patient Email (required)
Patient Contact Number (required)
Please attach relevant files (photos/digital x-rays, notes etc.):
I have obtained the patient's consent to refer the patient details to The Kensington Clinic.
All referral information received is stored and used according to our GDPR Guidelines.