Skip to content
Contact WhatsApp
For dental professionals I’m a patient

Refer a patient.

Revive works collaboratively with referring clinicians. Your patient receives specialist care; you receive clear communication and your patient back.

Gloved hands holding a dental mirror and probe
  • Acknowledged within 1 working day
  • Patient contacted within 2 working days
  • Written reports at every stage

Referral form

Start a referral

Takes around five minutes.

  1. 01Referring dentist
  2. 02Patient
  3. 03Referral information
  4. 04Attachments & consent

01Referring dentist

Your details so we can acknowledge the referral and keep you informed throughout treatment.

02Patient

Who you are referring. We will contact them directly to arrange the consultation.

03Referral information

What you would like us to assess or treat. The more detail you can give, the better we can triage.

Include the tooth or teeth involved, symptoms, duration and any treatment already provided

Medical history, current medications and any previous periodontal or endodontic treatment

Urgency

For patients in acute pain, please call 01 234 5678 rather than waiting for the form to be processed.

04Attachments & consent

Radiographs and photographs help us triage accurately. Consent is required before we contact the patient.

Drag and drop files here, or browseRadiographs, clinical photographs and PDFs · up to 25MB per file

By submitting this referral you confirm you are a registered dental professional and that the information provided is accurate. Patient data is processed under our privacy policy and retained in line with GDC record-keeping guidance. It will not be used for marketing.

A dental implant teaching model

Why refer to Revive

Built around the referring relationship

  1. Specialist expertise

    Registered specialists and experienced clinicians, working with a dental microscope, CBCT imaging and an in-house laboratory.

  2. Collaborative care

    We agree the scope of treatment with you before we begin. Where it makes sense, elements of the plan can be completed in your own practice.

  3. Clear communication

    A written report after the consultation and again on completion, with radiographs and photographs attached. You are copied on every letter we send your patient.

  4. Patient-focused treatment

    Your patient is treated as an individual, with the same time and attention we give our own, never rushed and never sold to.

  5. We never poach

    Referred patients return to you for routine care. We will not offer them examinations, hygiene or any treatment outside the scope of the referral.

Referral process

How it works

From submission to completion, you will always know where your patient is in the process.

  1. Submit your referral online

    Complete the form below and attach radiographs, photographs or notes. It takes around five minutes and we acknowledge within one working day.

  2. Revive contacts the patient

    Our referral coordinator calls your patient within two working days to arrange a consultation at a time that suits them.

  3. Consultation & treatment plan, copied to you

    The specialist assesses your patient and agrees a plan. A written report with findings, options and fees is sent to you and to the patient.

  4. Treatment & updates

    Treatment is carried out at Revive. You are kept informed at each stage and can contact the clinician directly with any questions.

  5. Patient returned to you with a completion report

    On completion you receive a report with radiographs and maintenance recommendations, and the patient is discharged back to your care.

Clinicians

Who you’re referring to

Every referral is reviewed by the named clinician for that pathway. You are welcome to speak to them directly before you refer.

Principal Dentist, Restorative

Dr Eleanor Marsh

BDS MFDS RCS(Ed) · GDC 345678

Eleanor leads restorative planning for larger cases, including full-mouth rehabilitation, tooth wear and complex prosthodontics, and welcomes second-opinion and joint-planning referrals.

Specialist Periodontist

Dr Samuel Okafor

BDS MClinDent (Perio) MPerio RCS(Ed) · GDC 123456

Samuel leads our periodontal service and accepts referrals for advanced gum disease, recession and grafting, peri-implantitis and regenerative surgery.

Endodontist

Dr Priya Nair

BDS MSc (Endo) MEndo RCS(Ed) · GDC 234567

Priya accepts referrals for complex root canal treatment, re-treatment and cracked teeth. All treatment is carried out under the microscope, with same-week appointments for patients in pain.

Referrer FAQs

Questions from referring dentists

Cannot find what you need? Call the referral coordinator on 01 234 5678.

Routine referrals are offered a consultation within four weeks and “soon” referrals within two. Urgent cases, including patients in pain, are seen within seven days and often the same week. We tell you the appointment date as soon as it is booked.