Dentist Referrals – Zebra Dental

Referrals

Zebra Dental is pleased to accept referrals for endodontics, periodontics, implants and advanced restorative work.

If you would like to refer a patient for any of the treatment outlined in our referral pack, please either complete the referral form below or contact us on 01539 447 346. Alternatively you can complete the referral form in the pack and send to us at;

Zebra Dental
Bertum Chambers
Ellerthwaite Square
Windermere
LA23 1DP

Referral Form

* Indicates required field

Type of Referral *

Name of Patient *

First

Last

Date of birth *

Address *

Telephone *

Mobile *

Email *

Relative Medical History *

Reason for Referral *

Name of Referring Dentist *

First

Last

Practice *

Practice Address *

Telephone *

Email *

Submit

Bertrum Chambers
Ellerthwaite Square
Windermere
LA23 1DP

t. 01539 447346
e. info@zebradental.co.uk

Monday: 9.00am - 5:00pm
Tuesday: 9.00am - 5:00pm
Wednesday: 9.00am - 5:00pm
Thursday: 9.00am - 5:00pm
Friday: 9.00am - 5:00pm
Saturday: Advanced treatments only

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Adequate Information for Patients – Benefits and Risk of X-ray exposure

Your dentist needs to take an x-ray of your mouth to help with your care. There are many benefits associated with the use of x-rays, such as your dentist being able to see what their eyes cannot (such as inside your body to find hidden dental structures, malignant or benign masses, bone loss, and cavities). This is much safer than using invasive techniques such as surgery.

Dental x-rays are exceedingly safe, but like everything in life, there is a degree of risk involved – you will receive a negligible dose of radiation which carries a tiny (less than one in a 200,000) chance of side effects. Furthermore, your dentist will never take an x-ray unless the benefit to you exceeds the minimal risk. To put this into context, this dose of radiation is so small that it will be equivalent to what you receive in a few days from natural background radiation that is present in the surrounding environment.

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