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"Home of *Pain free dentistry"


Dentist Referral

We would like to thank you for considering the Town House as a referral service. We want to make the referral process as simple as possible. If you would like to fill out the referral form below or down load and post it to us, we will then be in contact with both you and your patient. If you or your patients have any further questions, please do not hesitate to contact us.


Your patient will be given a full written breakdown of the treatment and costs after the consultation. Pricing may vary, but please see our pricing structure as a guide.

Helping your patient understand the process

At the Town House we understand that the referral process can be confusing and sometimes overwhelming for patients. Therefore we try to make the process as simple and stress free for both patient and referring dentist.

Dentists Referral Form

*These fields are compulsory.

    Referring dentist details

    Patient details


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    Want to post your patients details instead?

    Please download and complete the patient referral form and send to us with supported documents.


    “I cannot rate this place highly enough! Coming from someone who previously. I’ve now had multiple visits, and each time I leave feeling even more confident than before. The staff are so lovely and go above and beyond to help you and make sure you feel comfortable. Everything from my initial consultation, to my current ongoing work with Peter has been nothing but pleasant. It was also completely pain free! I now weirdly look forward to my dentist appointments. I can’t wait to continue my treatment and see my smile transformation!”

    Sarah Cozens

    “My experience over the last few years with them has been nothing but amazing! Everyone is so friendly and welcoming and make the patient experience excellent! My dentist Sally has been so great and always listens to what I’m looking for and gives me great advice and suggestions. Thank you so much for giving me such an amazing experience so far! X”

    Amy W

    “From the administration and reception staff, to the dental staff, everyone makes you feel welcome and comfortable. The clinical quality is excellent and the standards throughout are very impressive. Highly recommended!”

    Tim Stevens

    “This treatment has changed my life! I am happy to smile and talk without hiding my mouth. All the staff were excellent and made me feel relaxed at all times. Peter has truly transformed my smile.Many thanks to Peter and all his wonderful staff!”

    Alice Stevens

    “A total transformation! Never felt a thing, such a difference – I feel so much more confident. Why did I wait so long? A big Thank You to the friendly and supportive team!”

    Max Husher