48 Woodberry Grove, London N4 1SN www.manorortho.co.uk
Tel: 0208 800 8581 Fax: 0208 802 2403
Email: Manor.clinic@nhs.net
Patient's Details
Referring Dentist's Details
If you are a dentist referring a patient for NHS orthodontic treatment, please inform patient current waiting time for assessment is about 6 months. patient must be under 18 of age
You can upload digital radiographs, photographs or scanned documents with this referral by clicking on the 'Upload files' button below, selecting my computer and choosing the relevant files