Dental Patient Referral

To refer a dental patient to us for specialist endodontist treatment please click on the link below to download our standard referral form. Please then fill in the patients details and forward the form to us.

Please download the referral form from this link.
"It is a Microsoft Word document and should open automatically in your word processing program. You can then copy and paste it directly INTO an e-mail and send to referrals@endosouthwest.co.uk . You can fill in the details while the file is in Word and THEN copy and paste into the e-mail OR copy and paste the FORM into the e-mail and fill it in on the e-mail page! Either of these will be the QUICKEST way to get a referral where it can get immediate attention!".

A pdf version of the referral form is also available here.

Dr. Nico Louw BChD MSc PhD Specialist Endodontist,
by email: referrals@endosouthwest.co.uk
or by phone on 0780 304 4904

GEORGE HOUSE DENTAL PRACTICE
11 St. Nicholas Street
BODMIN
PL31 1AB
TEL/FAX: 01208 78466

SOUTHWEST DENTAL SPECIALIST REFERRAL CENTRE
2 Higher Street
CULLOMPTON
EX15 1AJ
Tel. 01884 33317
Fax. 01884 35184

The Bridgwater Endodontal Surgery
Taunton Road Dental Practice,
Southwood House,
2 Taunton Rd,
Bridgwater,
Somerset
TA6 3LS.