Intra Venous Sedation Referrals

We welcome referral of adult patients ( 18 years or older )  for routine dental care under IV Sedation. Our team are fully trained in both IV sedation and Immediate Life support and have successfully completed the Sedation Practice Inspection.  As a courtesy we offer a free initial consultation to your patients and will keep you fully appraised of the outcome of this as well as  any treatment proposed or completed. If you would like to chat  to Martin direct about any referral or case  please just call reception on 0131 669 2114

You can refer your patient for Dental Sedation either by completing the online form below  or download our   Sedation Referral Form.

    Patients Name
    Patients Address
    Patients Home tel.
    Patients Mob tel.
    Patients e-mail
    Referral Reason AnxietyInvasive ProcedureCo-operationOther
    Treatment Requested
    Relevant Medical,Dental & Social History
    Please attach any relevant radiographs here or send them to
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    Referring Dentist
    GDC No.
    Practice Address
    Practice e-mail.
    Practice Tel.
    My patient meets the referral criteria (opens in new tab) Yes
    Yes I consent to my personal data being collected and stored as per the Privacy Policy.
    Yes I consent to my personal data being collected and stored for the purpose of marketing communications.