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glastonbury dentist

Patient referrals

implant dentist

Click the icon to view

our referral form

dental implants

Thank you for you submission. A member of the team will be in touch shortly.

If you're looking to refer a patient to James or are a Patient who wishes to be referred to our Practice, then please complete the form on this page and, once completed, click the submit button at the bottom of this page. 

Alternatively you can download the form, print it out, complete the required fields, and post it to us at 

TRUST Dental

50 High St



BA16 0EQ

A member of our team will then contact you to arrange an appointment and answer any questions or queries you may have. 

Any recent relevant radio graphs in a digital format would be most useful. Please send them to


Wet films will be returned by Recorded Delivery after the initial assessment.

In the meantime, if you'd like to get in touch, please visit our Contact us web page.

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