Dentist
referrals

Refer a patient for orthodontic assessment or treatment. Send the details below and the clinic will contact both you and the patient to arrange an appointment.

Why refer here

Dr. Emad Deen accepts referrals from general dental practitioners for orthodontic care that sits outside general practice — from routine alignment through to Class III correction, skeletal anchorage and lingual treatment.

He is a specialist orthodontist with a doctorate from the University of Malta and a Fellowship of the Royal College of Surgeons of Edinburgh, and lectures in orthodontics at the University’s Faculty of Dental Surgery.

01 Submit Send the form with as much detail as you have to hand. Records are welcome but not required.

02 Contact The clinic contacts the patient directly to arrange an initial consultation.

03 Update You receive a written update after the assessment, and again once treatment is complete.

Commonly referred for

Crowding, spacing and rotations requiring fixed appliances
Class II and Class III malocclusion, including growth modification
Crossbite and underbite correction
Complex cases
Adult patients wanting lingual or aligner treatment
Interceptive assessment in mixed dentition
Pre-restorative alignment and space management

Referral form

Referral for *

Referring dentist

Dentist first name *

Dentist last name *

Practice name and address

Dentist email *

Dentist phone

Patient details

Patient first name *

Patient last name *

Patient date of birth

Patient phone *

Patient email

Clinical notes / reason for referral

By submitting this form you confirm the patient has consented to being referred and contacted.

Prefer to speak first?

Call or email Dr. Deen directly to discuss a case before referring.

+35699385673

info@deenorthodontics.com

Dentistreferrals

Why refer here

Commonly referred for

Referral form

Prefer to speak first?

Dentist
referrals