Sedation Referrals

Sedation (IV and Inhalation)

If you would like to refer a patient to us for treatment please complete our referrals request form below, and we will get back to you as soon as possible.

We welcome referrals for Sedation (IV and Inhalation) treatment.  If you have referred your patients to us before, we would like to take this opportunity to thank you for your continued support. If you are a new referring practitioner, welcome to Savernake Dental.

Please fill in as many details as you can. Fields which have this symbol * need to be filled in.

For more information on aesthetic/cosmetic dental referrals please send us an email and we will get back to you as soon as possible.
Email: info@savernakedentistry.co.uk

To find out more about aesthetic/cosmetic dental treatment or to book an appointment.
Call us on : 01672 512418

Sedation (IV and Inhalation) Treatment Referral Form


Patient is ASA I or ASA II.

Patient is not pregnant.

Procedure has been discussed with patient and patient understands that it is not a general anesthetic.

Genuine Patient Reviews

patient plan
Inman Aligner
Regulated by CQC