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 Surgery
- Oral Surgery Referral Guidelines for GDPs Jan 2019
- Oral Medicine Referral Guidelines for GDPs Jan 2019
- Form 1: Adult – Oral & Maxillofacial Surgery Referral Form – DCIOS
- Form 2: GA or Sedation request form
- Form 2a – GA or Sedation Request Form (Electronic)
- Suspected Head and Neck Cancer Referral Form 2 Week Wait – BNSSG
- Suspected Head and Neck Cancer Referral Form 2 Week Wait – Cornwall
- Suspected Head and Neck Cancer Referral Form 2 Week Wait – Devon and Torbay
- Bristol Apicectomy referral form
- Bristol General oral surgery referral form
- Bristol Oral Medicine referral form
- Bristol third molar referral form
Special Care
- NHS England South (South West) Referral Form Request for Assessment of Patients with Additional Needs (Plymouth and UHB)
- Plymouth Community Dental Services Special Care Referral Criteria
- University Hospital Bristol Special Care Referral Criteria
- Plymouth Community Dental Services – Paediatric XGA Referral Form 2019
- Kernow Special Care Referral Form
- Torbay and South Devon Special Care Referral Form
- Torbay & South Devon Special Care Referral Criteria
- Somerset Primary Care Dental Service – Special Care Referral Form for Patients with Additional Needs
- Northern Devon Referral Form (including Exeter, Eastern and Mid Devon – for Assessment of patients with Additional Needs
Peninsula Community Health Special Care Referral Proforma: