Hygienist Patient Referral

Refer a patient for Dental hygiene treatment at Oxford Place Dental Barrow in Furness Cumbria

Dentist Contact Details






Patient Contact Details







Treatment Prescription

Please treat the above patient as necessary for the condition outlined, within your scope of practice


Acute Periodontitis
Chronic Periodontitis



Implant Care


Case Urgency Status

Local Anaesthetics

Please use local anaesthetics by either infiltration or ID block as necessary


Additional Information

/ Comments

Patient Smoker / Diabetic




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