Referral Form

Please could all referring dentists fill out the referral form and post to:

Albert Road Dental Practice
1 Albert Road
WR11 4JX

Or email with secure encryption to

If you have any problems downloading the form, please contact us on 01386 442207.

Please click here to download our referral form.

Thank you for your continued referral support. Our practice refferal timeline has, and will continue to be:

1. Receive appropriate referral with patient contact details and summary of the reason for referral (radiographs in printed or digital form can often be beneficial). We will endeavour to contact the patient as soon as possible and arrange either a treatment or consultation appointment. A consultation may lead to further treatment appointments being made.

2. Once the assesment or treatment has been completed we will write to the referring dentist outlining treatment/recommendations etc. This communication will often include a copy of relevent radiographs.


Practice hours...

Mon:8.30 am - 5.00 pm
Tue:8.30 am - 5.00 pm
Wed:8.30 am - 5.00 pm
Thu:8.30 am - 5.00 pm
Fri:8.30 am - 4.30 pm

© Albert Road Dental Practice