ONLINE REFERRAL FORM for Dentists
Here at Brookfield we are pleased to be able to offer advance treatments for your patients including oral surgery and implants.
If you would like to refer a patient to us, please complete the referral form below.
Rest assured, your patient will remain your patient. We will keep you fully informed throughout their treatment with us, and report back to you once it is complete. Please do not hesitate to contact us if you have any questions.
Please upload any x-rays or photographs to accompany your referral.