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NHS oral surgery referrals

NHS oral surgery referrals can now be submitted to Queensway through the NHS electronic Referral Management System (eRMS).

Submit an NHS oral surgery referral

Our private oral surgery referral pathway remains unchanged.

*Please note that all fields are mandatory

Patient details

In accordance with policy referral protocols that can be found here.

Radiographs

Indication for sedation

(Please note we only manage ASA I and II Patients. ASA III may be suitable, but their care will be provided by exception – if unsure please contact us to discuss or refer to an appropriate secondary care service.)

NB: Please note this is not primarily a sedation service - for straightforward extractions on anxious patients please refer to the local sedation service. Please include ASA score, ie ASA1 and II (III by exception)

Weight limit*

Refer to separate guidelines and tick box as appropriate:

Translation services

GMP details

Referring dentist details

Before you submit the referral please tick...(*To be completed by the referring dentist)

  • I have explained to the patient the reason for referral and the choice of provider which has been agreed by the patient.
  • I have explained to the patient that their first appointment will be for assessment only and to bring along an up to date prescription (if applicable).
  • I have made the patient aware of any other dental care required to be managed by the referring practice.
  • I have read and understood the referral guidelines for referrals of this type and have included appropriate x-rays (or where not included have explained reason), medical history and medication
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*Updated 2023*