Implants referral

Dental Implants referral


Deborah I Bomfim
Specialist in Restorative Dentistry/ Consultant and Honorary Lecturer in Restorative Dentistry
BDS (Hons) MSc MJDF RCS (Eng) FDS (Rest Dent) RCS (Eng)
GDC: 103979

Deborah is a Consultant and Honorary Clinical Lecturer in Restorative Dentistry at the Eastman Dental Hospital. She qualified with Honours from King’s College London Dental Institute at Guy’s, King’s and St Thomas’ Hospitals. She completed foundation training in practice and worked at 4 major London Teaching Hospitals, before moving to the Eastman for a Masters in Conservative Dentistry (awarded with Distinction) and a 5-year Specialist Training Programme in Restorative Dentistry.

Deborah is actively involved in training future specialists and has set up, run and lectures at national and regional courses for dentists, including for the British Society of Restorative Dentistry, which she is a council member.

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Referring a patient

You can make a referral in 3 ways:

1) Via Email:

– Click here to download our Referral Form

– Fill out all the required fields marked (*)

– Attach the Referral Form with any supporting xrays/images/charts and send to info@kdentalstudios.co.uk

2) Via Post:

– Click here to download our Referral Form

– Fill out all the required fields marked (*)

– Please send your Referral Form with any supporting xrays/images/charts to: 116 Great Portland Street, London, W1W 6PJ

3) Online Form: (compatible only with computer users)

– Please fill out the form below and click on send ensuring that you have filled out all

the required fields marked with (*)

Please tick the appropriate referral: *


Dr Cesar Muñoz-Villena
Practice Limited to Endodontics
DDS MSc (Endodontics)
GDC: 208309

Dr Dimitra Emmanouella Tsarouchi
Practice Limited to Periodontics
BDS (Lond)
GDC: 103982


Dr Ayse Nazli Spencer
Consultant/Specialist Oral Surgeon
BDS (Lond) MJDF RCS(Eng)
GCAP M.Oral Surg

GDC:104084

Dr Deborah Bomfim
Specialist / Consultant and Honorary Lecturer in Restorative Dentistry
BDS, MSc (UCL), MJDF RCS (Eng), FDS (Rest Dent) RCS (Eng)
GDC:103979


Dr Sara Stephens
Specialist /Consultant Orthodontist
BDS, MJDF RCS (Eng), MClinDent (Distinction), MOrth RCS (Eng), FDS (Orth) RCS (Eng)
GDC:103298

Irene Kaimakamis
Principal Dentist, Special Interest in Fixed Prosthodontics, Honorary Speciality Dentist King’s College Dental Hospital
BDS, MJDF RCS (Eng),MSc (UCL)
GDC:104215

Patient Details: *

Title: Miss/Mrs/Mr/Dr/Other:

Surname:

Forename(s):

Date of Birth:

Address:

Postcode:

Tel/Mobile:

Email:

Reason for Referral: *

Please give as much detail as possible and include any treatment already carried out:

For Endodontic Referral Only:

Right
Left

8765432112345678


8765432112345678

Is the Patient in pain?
Final restoration to provided by Dr Munoz?
If yes, would you like:

Enclosures (Please tick):



(Please note that enclosing good quality radiographs will speed up the referral process)

Upload here:


(Maximum upload filesize: 5Mb)

Relevant Medical History: *

Practice Details: *

Referring Practitioner:

Referring Practice:

Practice Address:

Post Code:

Telephone:

Email: