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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