For the referral of patients to New Life Teeth for Dental Cone Beam CT Examinations, please ensure you firstly sign and understand our Service Level Agreement for referrals to our Edinburgh clinic or Belfast clinic.
This form is being sent securely via the Valident vForms service ensuring safe transmission of your data.
You are now in a secure area
Any data sent from this page are securely encrypted. The encrypted data are stored in an ISO27001 certified UK data centre.