Refer a Patient

For Dental Professionals

Refer a Patient to
Smiles & Roots

We handle everything from first contact to completed treatment and return your patient to you for restoration.

Submit a Referral
Call for Urgent Cases

✔ Patient returned after treatment
✔ Full report sent on completion
✔ Urgent cases seen same / next day
✔ You will be kept updated throughout

Why refer to us

Your patients are in expert hands

We make the referral process effortless for you and comfortable for your patient.

🦷

Specialist Endodontic Care

Root canal treatment, retreatment, trauma and complex cases handled with precision.

📋

Seamless Communication

Full written report and radiographs sent to you on completion. No chasing needed.

⚡

Fast Appointments

Routine cases booked quickly. Urgent cases often seen same or next day.

🔄

Patient Always Returned

We treat, you restore. Your patient relationship is always protected.

The process

Simple. Fast. Collaborative.
1

You Refer

Fill in the form below in under 60 seconds.

2

We Contact Patient

We call your patient and book their appointment.

3

Treatment Complete

Full report sent to you on completion.

4

Patient Returned

Your patient comes back to you for restoration.

🚨 For emergency referrals — do not wait for the form. Call us directly or WhatsApp us for same-day appointments.

Submit a referral

Refer a Patient
1
2
3
4
5

Referring Dentist

Patient Details



Clinical Information















JPG, PNG or PDF — max 10MB


Urgency


Review and Submit
Referral Summary


Secure and confidential

✅

Referral Submitted!

Thank you. We have received your referral and will contact your patient shortly. A confirmation email has been sent to you.