Dentist Referrals

If you wish to refer a patient to OneByOne, please complete the form below.

Chris accepts Implant and Oral Surgery referrals.

Michael and Daniel head up Invisalign and restorative referrals.

It is our policy that patients referred to us, will always be discharged back to the referring dentist, and excluded from registering as an ongoing patient with ourselves.

Referrer's Name

First Name

Last Name

Referrer's Email

Patient Name

First Name

Last Name

Patient Phone Number

(###)

###

####

Patient Email

Treatment Need

Implants

Toothwear

Composite Bonding

Dentures

Restorative / Rehab

Oral Surgery

Referral Information

Location Preference

Lisburn

Stranmillis, Belfast