Blackhills Dental Clinic

Ready to refer? Complete the form below and we will be in touch shortly. Blackhills accepts referrals for:

Implants & oral surgery
Restorative dentistry
Sedation & Special Care
CBCT & radiology

On this page: Refer your patient Contact us

How to refer

Abbaymount Dental Care accepts referrals in a variety of formats. The easiest option is to complete the online referral form below, attaching any relevant radiographs, images or charts.

Referral Type

Referring Details

Full name of referring dentist

Email address of referring dentist

GDC number

Practice name

Practice phone number

Practice address

Patient Details

Full name

Email address

Contact number

Date of birth

Name of parent/guardian

The patient is currently in pain

Clinical Details

Medical details

Chief complaint & brief history

Problem tooth/teeth

Clinical findings

Radiograph findings

Proposed treatment plan

Relevant dental history

Relevant medical history

ASA classification

Referral notes & supporting info

What information do you want the exam to provide?

File Uploads

Upload Files

Describe supporting files

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Questions about referrals?

If you'd like to discuss how the referral network works or have questions about our practices, get in touch.

Contact us