Dentist Referral in Liverpool at the Abbey

We believe that patient outcomes can be improved by their treatment environment. At the Abbey we have created an environment which offers patients a uniquely calm experience.

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0151 707 4959

A uniquely calm experience.

As they pass through our communal spaces, they will feel a sense of calm and tranquility, allowing them to relax in preparation for the specialist treatment they are receiving.

If you would like to visit the practice prior to the dentist referral in Liverpool, please get in touch (patientliaison@theabbey.dental) and we can arrange this.

Or if you would like to see more of our quality work beforehand, be sure to visit our socials.

If you are a patient who wishes to be seen at The Abbey please Contact Us.

Referral Form

This form is for use by dentists to refer patients to the practice

1Patient Details

2Type of Referral

3Dentist Details

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This field is for validation purposes and should be left unchanged.

Patient Details

Patient Name(Required)

Prefix First Last

Patient Date of birth(Required)

Day

Month

Year

Patient Address(Required)

Address Line 1 Address Line 2 City County Postcode

Patient Contact Phone Number(Required)

Patient Email

Type of referral

I am referring for(Required)

Cosmetic Dentistry

Oral Surgery

Apicectomy

Palatal Canine Exposure

Implants

Tooth Wear

Endodontics

Specialist Orthodontics

Sleep apnoea

Snoring devices

Hypnosis

Dental phobic anxiety management

CBCT

Charting

Teeth to treat(Required)

UR8

UR7

UR6

UR5

UR4

UR3

UR2

UR1

UL1

UL2

UL3

UL4

UL5

UL6

UL7

UL8

LR8

LR7

LR6

LR5

LR4

LR3

LR2

LR1

LL1

LL2

LL3

LL4

LL5

LL6

LL7

LL8

Would you like us to carry out the definitive restoration (e.g crown or onlay) at our practice?(Required)

Yes

Would you like us to place a direct core (and post if appropriate) prior to returning the patient back to your practice?(Required)

Yes, please place a direct post & core if required

Yes, please place a direct core

No, I will place the core, please place a temporary restoration

If the tooth is not restorable would you be happy for us to offer an alternative treatment?(Required)

Yes, I am happy for you to offer alternative treatments such as an extraction or replacement of the tooth.

No, I would prefer you to refer them back to me

If the patient requires treatment on adjacent teeth at the same time as having the implant treatment are you happy for this to be offered as part of the treatment plan at our practice?(Required)

Yes

No, please refer back to me.

If it is deemed that the patient would benefit from hygiene support as part of their treatment plan would you be happy for us to offer this at the Abbey?(Required)

Yes

No, please refer back for hygiene at their home practice

On completion of treatment we will discharge your patient back to you for ongoing care and maintenance. We can offer your patient ongoing hygiene support, would this be of interest to you?(Required)

Yes

No, please discharge and refer back for hygiene at their home practice

Do you have a preference on which clinician you wish to refer to?(Required)

Dr Nick Longridge, Specialist Endodontist, BSC (Hons) 2008, BDS (Hons) 2013, MFDS RCS(ed) 2015, MENDO RCS(ed) 2019, DDSC 2020

Dr Sam Johnson, Dentist with a Special Interest in Endodontics, BDS 2015 MSc (Endo) 2021

I’m happy to refer my patient to either clinician, whoever has the shorter lead time for treatmentI’m happy to refer my patient to either clinician, whoever has the shorter lead time for treatment

Further details about our clinicians can be found on the Our Team section of the website

Urgent Referral?

This referral is urgent/time sensitive

Please provide a reason for your referral(Required)

Please provide any relevant medical history including any medications taken

Please provide additional information here

Images

Radiograph or Image

Drop files here or

Accepted file types: jpg, gif, tif, png, jpeg, Max. file size: 128 MB, Max. files: 5.

CBCT Referral Details

NB: in line with CQC requirements all CBCT Scans will include a report, unfortunately this isn't optional.

Teeth to treat(Required)

UR8

UR7

UR6

UR5

UR4

UR3

UR2

UR1

UL1

UL2

UL3

UL4

UL5

UL6

UL7

UL8

LR8

LR7

LR6

LR5

LR4

LR3

LR2

LR1

LL1

LL2

LL3

LL4

LL5

LL6

LL7

LL8

Please provide a justification for this scan & any relevant clinical history(Required)

Define the anatomical area that the scan should cover(Required)

We will prescribe the CBCT size dependent on the information and the teeth you have selected in the chart.

What information do you want the dental CBCT examination to provide?(Required)

Dentist Details

Dentist Name(Required)

Prefix First Last

GDC Number(Required)

Dentist Email(Required)

Practice Name(Required)

Practice Phone(Required)

Practice Address(Required)

Street Address Address Line 2 City Postcode

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