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New Patient Referral

New Patient Referral

Please complete the form below. You must be 16 or over to register.

Do you have a dentist?

What treatment are you interested in?

Link to Policy Agreement

Referral Team
Dental Hospital
College of Medicine and Dentistry
32-34 Colmore Circus
Birmingham
B4 6BN

Email: Clinic@comd.org.uk
Telephone: 0121 345 9833