Referring Dentists

General Dentistry and Orthodontics

Your friendly local dental clinic


We welcome referrals from all dentists for treatment at our practice. Please click the image on the right-hand side to download the pdf. Scan and email over the referral form to us at

Referring Dentists


Please see the above named patient for an orthodontic assessment and treatment if necessary. The patient is aware that any consultation at Elegant Smiles Dental Studio will be on a private basis only.

    [text* text-patient-dob placeholder “Patient D.O.B"]

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    General Enquiries

    Contact Information

    45 Foxley Lane, Purley, Surrey, CR8 3EH

    020 8660 4365

    Tuesday - Friday