Refer your patient to Improve Your Smile

    Requested treatment

    Dental implantsSame-day implantsCT-scanAesthetic dentistryAdult orthodonticsEndodontic treatmentOther (state below)



    If you have more files to send, please email them to care@improveyoursmile.co.uk

    Patient details


    Date of birth





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    Thank you for referring your patient to us. We will keep you informed as to our progress and any findings likely to affect their treatment now or in future. We undertake to refer your patient back to you at the end of their treatment with us.
    Dr Amjad Malik BDS DGDP RCS (UK), Lead Clinician, Improve Your Smile