For Dentists


Referrals may be made with the online referral form below. Alternatively please see Dr McHugh’s contact details


Patient Name*

Patient Address

Date of Birth

Telephone Number*

Mobile Number*

Medical Insurer (If Applicable)


Treatment Required

"Most fees are tax deductible at 20%. For a price guide, please contact us here."

Referring Dentist / Doctor



Phone Number

Fax Number

Email Address*

Document Upload

Radiograph Upload