Dentist Referral

SmileLux warmly welcomes referrals for private orthodontic treatment for both adults and children. Our experienced team is committed to delivering the best possible outcomes for your patients, while keeping you informed and involved throughout their treatment journey.

You can refer patients easily by:

  • Using our online referral form below
  • Calling us directly on 01908 398 068

Any radiographs, photographs or study models you can provide will greatly assist us in planning treatment. All records will be carefully returned to you.

Dentist referral form

If you are looking to refer one of your dental patients for orthodontic treatment, please fill out the form below or download our patient referral form.

Please fill in all fields marked with *

Practitioner details

Patient's details

Date of Birth*

Enclosures*

Please send any enclosures to us via email info@smilelux.co.uk or by post.

By confirming your place you are agreeing to our privacy policy.

Why refer to SmileLux

Referring your patients to SmileLux means partnering with a trusted orthodontic team dedicated to exceptional care. We offer personalised treatment plans, the latest technology and a supportive environment.

All our dentists are fully registered with the General Dental Council and uphold the highest professional standards. Every team member has undergone enhanced CRB checks and has been selected for their dedication to excellence and patient care.

We vow to keep you fully informed of your patient’s progress every step of the way. At the end of your patient’s orthodontic treatment journey, they will be discharged back to you for continuing care.

We can’t wait to put a smile on your patient’s face.

Why refer to SmileLux