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Want to download a traditional referral form?


Why refer?

At Ringley Park Dental Practice, we have the skills and equipment to undertake a vast range of advanced dental techniques for all age groups. Our experienced and well-equipped team is ideally placed to handle patient referrals from other dental practices.

In partnership with you

We understand that referring your patients for advanced treatment is an exercise in trust, and we aim to earn and keep your trust by making the entire referral process a partnership with you.

You will be consulted on every step of the process, from the results of the initial consultation to a report after the treatment is complete. Your patient will then be returned to your care for follow-up and maintenance.

We welcome referrals for:

  • Implants to replace dentures and missing teeth
  • Specialist periodontal care for the treatment and prevention of gum disease
  • High quality crowns, bridges and dentures, including prosthodontic care
  • Endodontic treatment
  • Dental orthopaedic and orthodontic treatment for adults and children
  • Invisalign
  • Specialist care for nervous patients
  • Cosmetic dentistry
  • Specialist care for children with our resident Paedodontist
  • Provision of snoring appliances

How to refer

Simply fill out the form shown or download a copy using the link shown above.


  • Paul Barnes
    Specialist Periodontist,
    accepts referrals for implant and restorative dentistry

  • Steve Moulder
    Special interest in cosmetic, implant and complex restorative dentistry

  • Henk Freeke
    Special interest in aesthetic, implant and reconstructive dentistry

  • Simon Burgess
    Special interest in restorative dentistry

  • Caroline Bromley
    Special interest in orthodontics and restorative dentistry

  • Federico Foschi
    Specialist Endodontist

  • Omar Patel
    Specialist Periodontist

  • My Image

    Emma Ray-Chaudhuri
    Specialist Paediatric Dentist

Simply fill out the form shown (you will receive an e-mail confirmation) or download a copy using the link shown above.


Fill out my online form.


Ringley Park Dental Practice
59 Reigate Road
Surrey, RH2 0QZ


Mon: 8:00am-7:30pm
Tue-Fri: 8:00am-5:30pm
Other appointments may be available by prior arrangement


Phone: 01737 240123
Email: info@ringleypark.org
Emergency appointments available


For your convenience we offer patients the ability to book appointments online.

© Ringley Park Dental Practice 2016
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