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At Renton-Harper Periodontics we accept referrals from dental colleagues as well as self referrals from patients. Our referral form below can be posted to FREEPOST PERIO or emailed to us via referral@perio.co.uk

For referring colleagues

Referral Form

(Send by post to "Freepost PERIO" or email referral@perio.co.uk)

Medical History Form for Patients

Please complete before your visit, particularly with any medicines that you are taking whether prescribed or not. 

Mail Order

Brochure

Mail Order

Order Form

Patient Attendance Procedure

(please note this is only applicable if we have to re-instate COVID measures)

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