Salisbury Orthodontic Practice

32 Chipper Lane,
Salisbury,
Wiltshire,
SP1 1BG

Tel: 01722 415456
Fax: 01722 323456

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Surgery Opening Times

Monday- Friday

8.45am – 1.00pm
2.00pm – 5.15pm

Dentist Referral

We are happy to receive referrals for both Private and NHS treatment. Please inform patients that, if they are more than 17 years of age they may not be eligible for NHS treatment , due to our waiting list. They will, however, be welcome to attend for an NHS consultation. Once we have received your referral we will contact the patient directly and inform you.

*Referring Practitioner:

*Practitioners email:

*Practice Address 

Postcode

Practice Telephone No:

*Patient's Name:

*Patient's Address:

*Patients Telephone Number:

Patients Mobile Number:

*Patient's Date of Birth

*Referred for NHS or Private Consultation 

NHS Number

Reason for Referral

 

* required fields