Our Lecturers

Dentist referrals - working together

At evo endo, we work as a team – and that includes you. When you refer a patient for endodontic treatment, I take every step to ensure they receive the highest level of care, clinical attention and respect throughout their experience.

If we haven’t worked together before, you’ll find my qualifications and experience in my bio, and I’m always happy to provide references from referring dentists who trust in both the standard of my endodontic skills and the way I look after their patients.

We use the latest endodontic equipment, including:

Advanced operating microscopes
Digital X-ray systems for precise imaging

Whether your patient needs complex root canal therapy or routine endodontic care, we’re equipped to deliver the best possible outcome.

Refer your patient to one of our practices:

Gerrards Cross
Twickenham
Slough

Our information for your patients is available for their support and reassurance.

"Our entire team is highly trained in patient care, accurate diagnosis and careful treatment planning — so you can be confident that your patients are in safe, skilled hands."

FOR ALL REFERRALS PLEASE COMPLETE THE FOLLOWING INTRODUCTION TO YOUR PATIENT

Patient referral form

Please fill out the following form with the patient's details.

First name

Last name

Address including postcode

Phone

Date of birth

Day

Month

Year

Reason for referral

Referral for advice only?

Yes

Referral for advice and treatment?

Yes

Patient x-rays, radiographs or documents (upload here)

You may also email them to dhiraj@evoendo.co.uk

History of complaint

Relevant medical history

Provisional diagnosis

Any treatment carried out to date (please include radiograph)

Other relevant information

If you would like to add any further information, please use this space

Referring dentist's name

Referring dentist's email address

Referring dentist's contact number

Referring dentist's address

I consent to my data being used in accordance with our privacy policy and for evo endo's appropriate marketing purposes

At evo endo, we work as a team – and that includes you. When you refer a patient for endodontic treatment, I take every step to ensure they receive the highest level of care, clinical attention and respect throughout their experience.

​

FOR ALL REFERRALS PLEASE COMPLETE THE FOLLOWING INTRODUCTION TO YOUR PATIENT

Patient referral form