Referring Dentists

Referrals

At Mint Clinic we work exclusively in periodontal and implant treatment. As we don’t compete with your business, if you refer a patient to us, you can rest assured that they’ll remain in your care. We aim to treat the presenting complaint and refer your patient back into your continuing care on completion of their treatment. We do not refer patients onto other specialists without prior permission from the referring Dentists.

Tel: (01) 678 9904 or email us

Referral Form

Please send patient referrals by email to – info@mintclinic.ie

Word of Mouth

I have worked with Dr Richard Lee Kin for the past number of years and found his work to be of the highest standard. Any patients that I have referred to him have been impressed by his professionalism and his explanation of the processes involved in each procedure. We have a great working relationship and long may it continue.

PETER KEENAN

Date

Referring Dentist’s name

Patients name

Practice name

Contact number

Practice Contact number

Date of birth

Reason's for referral

Have you advised patient of the possibility of tooth extraction?

No Yes, tooth number

Tooth number(s)

Radiographs

Periodontal evaluation

Periodontal treatment completed to date

Upload File

Is there any restorative dentistry that needs to be competed?

No Yes, comment

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At Mint Clinic, we are dedicated to restoring and maintaining your oral health through specialist periodontal care and advanced dental implant treatments.

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