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York Dental Practice
1 Pioneer Business Park, Amy Johnson Way
Endondontic Referrals
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Mahesh Vasireddy
Saritha Vasireddy
Hussein Hassanali
Yordan Dimitrov
Eleftheria Tranoulidou
Khushboo Thakore Sharma
Sandeep Vasireddy
Natasha Quinn
Deborah Mansell
Sian Lacy
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Menu
Home
Why Us
Our Team
Mahesh Vasireddy
Saritha Vasireddy
Hussein Hassanali
Yordan Dimitrov
Eleftheria Tranoulidou
Khushboo Thakore Sharma
Sandeep Vasireddy
Natasha Quinn
Deborah Mansell
Sian Lacy
About Us
Treatments
Dental Examination
General Dentistry
Inlays and Onlays
Tooth Extraction
Dentures
Cosmetic Dentistry
White Fillings
Teeth Whitening
Internal Teeth Whitening
Crowns
Bridges
Veneers
Root Canal Treatment
Dental Implants
Invisalign
Smile Gallery
Membership Plan
Fees
Private Fees
NHS Fees
Finance
Contact
Endodontic Referrals (For Dentists) Root Canal Treatment in York
Endondontic Referral Form For Root Canal Treatment in York (Clifton Moor)
Undertaken by Dr Mahesh Vasireddy
York Dental Practice.1 Pioneer Business Park, Amy Johnson Way, York YO30 4TN
Tel: 01904 891160
PATIENT DETAILS
Date of referral*
Patient Name*
Date of Birth*
Patient Address*
Post Code*
Home Telephone*
Mobile Telephone*
Reason for Endodontic referral*
Specific patient problem(s)*
Dentist Name*
Practice Name*
Practice Address*
Post Code*
Practice Phone Number*
Practice Email*
Please enclose relevant radiographs, if available. These will be returned to you at the end of the treatment (You can upload up to 10 files each being max. 10MB)
Relevant medical history*
Additional Comments*
Consent
I consent to my personal data being collected as per our Privacy Policy*
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