Dental Treatment Referral Form (print friendly)

I would like to offer a referral service for implant and cosmetic restorative dentistry to you. This service includes informing and educating patients and colleagues about the benefits that implants can provide. I am able to combine excellent clinical skills in implantology with outstanding customer service in an atmosphere that is warm, friendly and relaxed.

In this relationship everyone benefits; we can work together expanding your knowledge of implant and complex dentistry whilst your patients gain an improved quality of life through a sense of security and confidence that cannot be matched. 

Would you like to know more?

I would be pleased to provide you with a dedicated referral folder containing information about Crossbank and our treatment philosophy so that you can refer your patients with confidence. Please be assured, a referred patient is not eligible to join the practice.

Alternatively, you are welcome to contact me at the practice by telephone, letter or via the e-mail form on the right. You can also refer a patient using the downloadable referral form.

Looking forward to hearing from you.

Yours sincerely,

Neil Cooper BDS MFGDP(UK) DipImpDent RCS (Eng)