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Self Referral

Book an appointment 01283 901 035
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We’re delighted you are considering Burton Smiles for your dental treatment.

Please fill in the form below to give us some more information about your case and we will be in touch with the next steps.

  • Patient Details

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  • *By clicking ‘submit referral’ you are consenting to us replying, and storing your details. (see our privacy policy).

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We’re here to help if you need us. Simply fill in the form below and a member of our friendly team will be in touch.

  • By clicking ‘submit message’ you are consenting to us replying, and storing your details. (see our privacy policy).