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Welcome
to the Referral Portal

If you are an existing referrer and have been set up to use our referral management system, please use the details provided to access the referral portal.

If you are a new referrer please use the online form below and if you would like us to set your portal details up please tick the box at the end of the form.

New Referrers

We accept referrals for specialist orthodontic & dento-facial orthopaedic / facial surgery treatment from:

  • General Dentists (GDPs)

  • Specialist Dentists

  • General Medical Practitioners (GMPs)

  • Specialist Medical Doctors

  • Allied Health Professionals

We accept referrals for dento-facial imaging from:

  • General Dentists (GDPs)

  • Specialist Dentists

  • General Medical Practitioners (GMPs)

  • Specialist Medical Doctors

Alternatively you can download a referral form below to send to us.

If you have any questions, please contact us at the clinic by email or phone. 

+44 (0)1483 971698 

Referrer Details

Patient Details

Reason for Referral

Relevant Clinical Information

Attachments (Optional)

Secure Imaging Upload
Upload supported file (Max 15MB)
Secure Upload Document
Upload supported file (Max 15MB)

We process referrer and patient personal data for the purpose of managing and responding to this referral and providing clinical care, in accordance with our Privacy Policy.

Thank you. 

Your referral has been received. We will review the information provided and acknowledge the referral shortly. If any further details are required, a member of our team will be in touch.

Download Referral Forms & Further Info

Orthodontic referral form
Cone Beam CT request form
Cone Beam CT information

Marble Surface

OPENING HOURS

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

We are closed Bank Holidays / Public Holidays

08:00 - 17:00

08:00 - 17:00

08:00 - 20:00

08:00 - 17:00

08:00 - 17:00

08:00 - 17:00

APPOINTMENT & BOOKING COORDINATOR TEAM

+44 (0)1483 971698

info@oneorthodontics.co.uk 

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VISIT US

ONE ORTHODONTICS

44 High Street

Cobham

Surrey  

KT11 3EB

SITE LINKS

Technology

3D Surface Scanning

Oral

Face

3D X-Ray Scanning

Face + Jaw Bones

Upper Airway

3D Virtual Planning

Orthodontics

Facial Surgery

3D Printing

Orthodontics

Face + Jaw

Minimally Invasive Laser Surgery

Low-dose 3D X-ray Guided Surgery

REGULATORY (CQC) INFORMATION

ONE SPECIALIST CLINICS LTD provides care at ONE ORTHODONTICS under location ID 1-17716846425 and is registered with the Care Quality Commission (CQC) under registration number 1-16413928891. The service was checked during registration to likely be safe, effective, caring, responsive and well-led.

© 2025 ONE SPECIALIST CLINICS. All rights reserved.

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