Consultant Oral Surgeon

Refer a Patient

I welcome referrals from GDPs and GPs. If you would like to refer a patient, please fill in the form below.

If you would like to discuss a case with me before referring a patient, please email me on tamer@tt-os.co.uk or contact my PA on 07443590118.

Referral Form

Date of referral

Reason for referral

Upload Xrays/Images/Referral letter

Patient Details

First Name

Last Name

Phone number

Patient's Address

Post Code

Medical History/ Any other details

Practitioner's Details

Phone Number

I have read and accept the

Contact Information

Make an appointment

Patient Information

Locations

Leaflets