Please submit your referral.

Dear Referring Dentist,

Our experienced endodontist is available to provide advanced root canal treatments and other specialised endodontic care right here in our practice.

By referring your patients to us, you can trust that they will receive expert care in a familiar, convenient setting. We are dedicated to supporting your practice and ensuring the best outcomes for your patients.

    Patients Details




    Referring Clinician


    Referral Details


    Relevant Radiograph & Medical History

    Please upload a medical history form, a radiograph and any information you feel is necessary.





    How do you like the tooth to be referred back to you?


    I confirm that I have the right to share client information and that the information provided is accurate.

    I agree to the use of my personal information as set out in our PRIVACY POLICY

    Call or e-mail us for an appointment:
     01273 733000
    info@nsqdentalpractice.co.uk
    Practice operating hours:
    Monday - Thursday 8:00 to 20:00
    Friday 8:00 to 18:00
    Saturday 9:00 to 13:00
    Sunday Closed
    Norfolk Square Dental Practice
    40 Norfolk Square
    Hove, Brighton
    East Sussex BN1 2PE