Dentists area

Helping your patients with advanced treatments

Here at Cliftonville we’re always pleased to play our part within the wider dental care community of Northampton and the surrounding area.

We would be delighted to help your patients with advanced treatments including cosmetic dentistry and orthodontic work. They can also take advantage of our wide experience in implant placement, treatments under IV and inhalation sedation, paediatric dentistry and for OPG and CT Scans.

If you would like to refer a patient to us, please complete the referral form below

Please note Dr Amita Peet cannot provide treatment with sedation for, bariatric patients or patients with complex medical needs nor provide complex endodontic treatments..

Rest assured that the patient will remain your patient throughout their treatment with us, and we’ll keep you fully informed of their progress at all times – beginning with a contact immediately following their initial consultation.

    Referrer details

    Practice details




    Patient details





    Referral information

    Required treatment:

    Implants
    Cosmetic (Crowns/Veneers)
    Orthodontics
    Botox / Fillers / ZO Skin Health
    Whitening
    Sedation
    Paediatric Dentistry
    Oral Surgery
    OPG
    Extra-Oral BWs
    CT Scan (Sectional)
    CT Scan (Single Arch)
    CT Scan (Dual Arch)

    Reason for Referral

    (For OPG and CT Scan referrals, please indicate reason for scan and area/teeth of interest)

    Upload X-Ray / Photo

    Data protection

    Patient details are used solely for the purpose of the referral more details of which can be found in our privacy policy.