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Referrals

Edward Hems accepts referrals for implant treatment and advanced restorative treatment. With 25 plus years experience in implant placement and restoration he will take your case through from start to finish.

Patient Information

Reason for referral (please tick):

Implant Options:

Preferred implant system:

Other

Has the patient any up-to date records (Radiographs, study models?)

If YES, are they included?

If not can they be made available?