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Patient details (step 1)

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    Referring Dentist Details (step 2)

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      Referral Details (step 3)

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      General assessment of dental health

      Oral hygiene *

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      Other records sent via post
      Final restoration to be placed by:
      Confirmation

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        Portman Dental Care Awards

        Fmc Logo 2019 Winner Oby M25
        Award Logo 2018
        Dental Industry Award - Portman Dental Care
        The Dentistry Awards - Portman Dental Care
        Private Dentistry Awards - Portman Dental Care
        Elite Practice Award - Portman Dental Care

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