BOOK AN APPOINTMENT Make a Referral Virtual Consultation
BOOK AN APPOINTMENT Make a Referral
Virtual Consultation
020 8947 5520
020 8947 5520
49 Woodside, Wimbledon, London SW19 7AF
Appointments

Patient Details

Patient First Name*
Patient Surname*
Address*
Patient Date of Birth*
Patient Gender*
Female
Patient Email Address
Patient Phone Number*

Referring Dentist Details

Name of Dentist*
Practice Phone Number*
Practice Name*
Referring Dentist's Phone Number
Referring Dentist's Email*

Referral Details

Dental Speciality
  •  Orthodontics
  •  Endodontics
  •  Prosthodontics (FIXED/REMOVABLE)
  •  Implant Surgery
  •  Implant & Restoration
  •  Zygomatic Implants
  •  Sinus Lift
  •  Bone Graft
  •  Surgical Extraction
  •  Apisectomy
  •  Cone Beam CT/Radiography
  •  Mentoring
Reason for Referral*
Relevant Medical History*
Do you have any attachments you wish to submit with this referral?
File Attachments

Please include any relevant file attachment such as radiographs, clinical notes or photographs.

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HOW TO FIND US

CONTACT US

Woodside Dental Practice
49 Woodside, Wimbledon, London SW19 7AF

​Tel: 020 8947 5520

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Please contact us via this website or email without disclosing confidential information.

Opening Hours

Monday 9.00 am - 5.30 pm
Tuesday 9.00 am - 5.30 pm
Wednesday 9.00 am - 5.30 pm routine appt
(4.00 pm – 7.00 pm Private appointments only)
Thursday 9.00 am - 5.30 pm
Friday 9.00 am - 5.30 pm
Saturday 9.00 am - 2.00 pm (Private only)
Sunday Closed
NHS appointments are Monday - Fridays only please contact the practice for booking time and availability.
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