Patients seen at Ashley House are usually referred by their own General Dental Practitioner. Since most patients only require our services for specific treatment, we would encourage all our patients to register with a General Dentist.

The more detail we receive in relation to the patients history and their dental problem, the more easily we can facilitate their access to our specialist facilities. Please use our secure online referral form which is the most efficient means of referral.

Referring Dentist's Details

Patient's Details

Maximum file size: 5 Mb
If more than one file please compress all files into .zip
Accepted files: .zip, -doc, .docx, .pdf, .txt, .jpg

A contact information pack will be sent to your patient upon receipt of your referral.