Dental referral guidance and forms
Dental Electronic Referral Service (Rego) – South West Region
South West DERS is a project working with South West ICBs to replace existing disparate patient referral systems with one digital service, covering the South West region. This will include NHS and private care referral originators.
For Queries System related, please contact REGO direct on rego.support@necsws.com
General enquiries to the Regional Dental Office – england.swdentalreferrals@nhs.net
Additional information and training guides can be found on the South West Dental Futures page DERS – Dental Electronic Referral Service – South West Dental Network – Futures
In order to keep you informed of go-live dates across the south west, each area is as follows:
- Cornwall and the Isles of Scilly. This area went partially live on 31 March 26. Rego to be fully live across the Cornwall and Isles of Scilly area on 13 July 26
- Somerset – live from 1 June 26
- Bath and North East Somerset, Swindon and Wiltshire – due to go live on 1 July 26
- Bristol, North Somerset and South Gloucestershire – due to go live 31 July 26
- Devon – due to go live from 1 September 26
- Gloucestershire – due to go live from 1 October 26
- Dorset – switch over to the South West system in January 27
Dental referral guidance and forms
A range of downloadable referral forms and related guidance documents are available below for practices, covering areas of dental specialty and location specific requirements.
Only use secure NHSmail
All referrals and any communication containing patient identifiable information must be made using a secure NHSmail account only. All dental practices must have at least one NHSmail address – if you need to set up a new account please visit the NHSmail website for details and join via the NHSmail portal tool for dentistry.
Oral cancer 2 week wait referral forms – South West
- Suspected Head and Neck Cancer Referral Form 2 Week Wait – BNSSG
- Suspected Head and Neck Cancer Referral Form 2 Week Wait – Somerset
- Suspected Head and Neck Cancer Referral Form 2 Week Wait – Cornwall
- Suspected Head and Neck Cancer Referral Form 2 Week Wait – Gloucester Royal Infirmary
- Suspected Head and Neck Cancer Referral Form 2 Week Wait – Bath Royal United Hospital
- Suspected Head and Neck Cancer Referral Form 2 Week Wait – GWH Swindon (referrals via John Radcliffe Oxford)
- Suspected Head and Neck Cancer Referral Form 2 Week Wait – Salisbury and Poole
- Suspected Head and Neck Cancer Referral Form 2 Week Wait – Dorset
- Suspected-Head-and-Neck-Cancer-Referral-Form-2-Week-Wait-Devon
Maxillofacial referral forms
Oral surgery and oral medicine guidance
Oral surgery referral forms
- General-Oral-Surgery-referral-Form-21.06.2023-vs4
- Oral Surgery GA Shortened Request Referral form 28.03.2023-v2
- Oral Surgery Shortened Sedation Referral form 28.03.2023-v2
- Oral-Surgery-THIRD-MOLAR-referral-form-21.06.2023-vs4
- Soft Tissue Oral Surgery Referral Form 28.03.2023
- Apical surgery referral form 21.06.23 v4
- Somerset Surgical Services (Weston General) – Oral & Maxillofacial Surgery Referral Form – Local Anaesthetic Service Only
- Bristol oral medicine referral form
- NHSE Southwest Unerupted Tooth of Concern OS referral Form July 2023 vs 2
Orthodontics
- South West Regional Orthodontic Referral Form July 2024
- South West Orthodontic Provider List
- SW Orthodontic Referral Acknowledgement Form
- Orthodontic Individual Funding Request (IFR) Form 2022
- Orthodontic Referral Guidance South West
- Plymouth Orthodontic Referral Guidance
Paediatric dentistry
- Paediatric Secondary Care Form- including GA
- Acceptance Criteria for CYP for Bristol Dental Hospital
- Emergency Dental Service for Children under 16 for Bristol Dental Hospital
- Referrals for Dental Trauma for Bristol Dental Hospital
- Paediatric CDS Form – GA (Plymouth CDS)
Restorative dentistry
- Individual Funding Request (IFR) Form Restorative Dentistry
- Perio Referral form November 2025
- Denture Endo Restorative Referral form November 2025
- Guide to Completing Referral Forms V3
Special care dentistry – adults and children
Guidance
Special care dentistry referral criteria