Refer a patient | Endo by Mo

Before you refer

What makes a useful endodontic referral?

Include the tooth and FDI number, clinical and radiographic findings, relevant tests, proposed pulpal/periapical diagnosis, restorability, prior treatment and definitive restorative plan.

Include relevant referral details and supporting clinical information.

Read full guidance for referring dentists →

Referral scope: non-surgical primary root canal treatment, retreatment and assessment. Surgical endodontics and dental trauma cases are not accepted.

Online referrals are not yet open. The referral service is completing its final clinical-governance, privacy and security checks. Please contact Poynton House Dental reception for referral arrangements in the meantime.

01 · Referrer 02 · Patient 03 · Clinical details 04 · Submit referral

01 · Referring clinician

Dentist name *

Practice name *

Practice email *

02 · Patient details

Provide the patient details required for the referral.

Patient name *

Date of birth

03 · Clinical details

Tooth · select from 32 permanent teeth *

Selected: None · FDI numbering is shown in the accessible tooth labels.

Reason for referral *

Priority

Restorability

Symptoms

Clinical findings / diagnosis *

Relevant medical history

Include relevant medical conditions, medications and allergies, or state “None reported”.

Additional information

04 · Radiographs & clinical images (uploads)

Attach JPEG, PNG or PDF files (up to 10 MB each; 5 files maximum).

Online submissions are not yet open. Please contact the practice for current referral arrangements.

I confirm that the patient has been informed about this referral and agrees to the sharing of the information required for referral assessment.

Please review the privacy information before submitting.

Online referral submissions are temporarily unavailable while final governance checks are completed.