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Dentate Referral Form

Dentist:

This page is reserved for Dentists who wish to refer any dentate patients for new partial dentures, additions or alterations of an existing partial denture.

Patient:

Please let us know which arch(es) the dentures are required for, any relevant information on remaining dentition.

Also can we use clasps on remaining teeth? Would the patient benefit from chrome work, implants, etc?

Also any information that may be relevant or helpful.

 

All dentate patients are instructed to return to their dentist in order to maintain the care of their natural teeth.

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Where to find us:

 16-17 Roseville Precinct

Castle Street, Coseley, WV14 9EP

 

(Next door to Rosewood Vets along the Birmingham New Road)

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T: 01902 664634

M: 07580 929233

E: info@simplydentures.net

Mr Peter Brookes DipCDT
GDC No: 124429
Peter Brookes

Updated February 2026 by Simply Dentures. 

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