To refer a patient to the Knightsbridge Clinic, you can call the practice on: 0203 978 8824 or email us at: firstname.lastname@example.org
Alternatively, please fill the form below
Referring Dentist Name (required)
Referring Practice Name (required)
Referring Practice Email (required)
Referring Practice Number (required)
Have you referred to us before? (required)
Patient Name (required)
Patient DOB (required)
Patient Email (required)
Patient Contact Number (required)
If possible please upload a close-up photo* of your teeth to help us assist you better. (*optional)
I have obtained the patient's consent to refer the patient details to The Knightsbridge Clinic.
All referral information received is stored and used according to our GDPR Guidelines.
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Out of town and overseas patients
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21 Knightsbridge, Belgravia, London SW1X 7LY
0207 603 3008
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