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Bournemouth Orthodontist
Bournemouth Orthodontist
Only Orthodontics
 
Only Orthodontics

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Only Orthodontics
Only Orthodontics
 
     
 

Self referral

You do not need a letter of referral from your Dentist to see one of our Orthodontists for a Private Consultation. NHS Consultations are available on referral from your dentist for children under 16 ½ years of age at specific times. Private assessments for children and adults can be arranged at a time that is convenient to you. The fee for a Private Consultation is £75. Please complete the form below and then click on the Submit button

One of our team will then contact you to arrange your first appointment

*Patient's Name:

*Patient's date of birth 

 Parent's Full Name (If Patient is under 16):

* Home Telephone No:

*Home Address:

*Postcode:

Work Telephone No:

* Email Address:

Current Dentist :

*How did you find out about our website?:

 

 

* required fields

 
     
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