Orthodontics referral

Orthodontics referral


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

Sara Stephens is a Consultant in Orthodontics at Croydon University Hospital. She qualified as a Dentist in 2006 from the University of Bristol. After working in dental practice and undertaking hospital posts in Oral and Maxillofacial surgery and Restorative Dentistry she was selected for specialist training in orthodontics at the prestigious Eastman Dental Hospital. During her training, alongside her clinical work she carried out research looking into landmark development for three dimensional facial scans and was awarded a distinction for a Master of Clinical Dentistry from University College London and she has presented her research internationally. She then went on to gain a membership in orthodontics with the Royal College of Surgeons, England.

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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: