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Accepting patients for dental implants from other practices within the Wantage & Oxfordshire area

Dental Implant Referrals

Dr Jens Wille, our Dental Implant dentist at Cherrytree Dental Care, has been placing dental implants for many years and has completed many cases. He is able to accept referrals from dentists or patients locally who would like him to treat them or their patients.

Please complete the referral form below with as much information as possible and once we receive your referral, we will acknowledge receipt and make the appropriate contact for an appointment.

If you are self referring, please mark state this in the “important information” section.


Referral Form

When completing the form, please could you leave as much detailed information as possible.

If you are self referring, please place your own details in the “dentists” fields of the form.

Again, if you are self referring, it is important to state this in the “important information” section.

      Dentist Details

      Patient Details

    Referring Case Details

     

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    If you have any questions or queries, please use the contact form below to get in touch.
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