Referral form for non-dental professionals

Referral Form NON Dental Practitioner 5/19

Please email the completed referral form to: ndht.sds-referral@nhs.net

Online referral form

People from the following groups can be referred to the service:

  • People with learning disabilities
  • People with autistic spectrum disorders
  • People with acquired brain injuries
  • People with a diagnosed mental health illness
  • People with medical conditions which are affected by poor oral health or where the provision of dental treatment is complicated by that condition
  • People with a physical disability that makes accessing the General Dental Service more difficult
  • People with a sensory disability that makes accessing the General Dental Service more difficult
  • People with a  current substance misuse habit
  • Children who are very anxious, uncooperative preschool children or a child with a phobia of dental treatment
  • Children with repaired cleft lip or palate
  • “Looked after” children or those registered as “At risk”
  • Oral Surgery

Last updated: June 30, 2021