Make a referral

To refer a patient to PortmandDentex Solent Orthodontics, simply complete and submit the below referral form.

Please include all relevant clinical information regarding this case, and remember to attached any x-rays if relevant.

After reviewing, we will contact the patient to introduce ourselves and book them in. We will also keep you fully updated on progress throughout.

Does your practice own a digital scanner?
Do you have any clear aligner practice experience?
If yes, select the number of cases below
Confirmation*:

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