Dentist Referrals

Male and female dentists in St Helens

Welcome to Rainford Orthodontics. Our site includes detailed information for your patients about the treatments we offer, including an up-to-date fee guide. You may wish to mention our site to your patients and let them research our services for themselves?

We appreciate all private referrals. Simply fill in the online form below to send details through to us. Referral information is transmitted to a secure server. All appropriate actions have been taken to ensure the privacy of data submitted online. If you would like to refer a patient to us but are not a Dentist, please use the enquiry form on the Contact us page.

One of our friendly treatment coordinators will be in touch with your private patient to arrange a consultation for them. Alternatively, your patient can call 01744 88 2222 and speak to us directly, or fill in their details themselves on our Contact us page.

You might find it handy to add our on-line referral form to the favourites list on your surgery computers. Your staff can fill it out while the patient is in the chair.

If you would like some hard copy referral forms sent to you, let us know. Alternatively, you can download and print a paper version.

Please note that we can only accept NHS referrals via the Cheshire and Merseyside online referral system. Private referrals can be sent directly to the practice via the usual methods.

Do check our News page for latest news and upcoming events which may be of interest to you.

Thank you for your support.

Referral form

Most orthodontic treatment is carried out for children aged 10 years and over, and once the permanent dentition is established.

Exceptions to this rule, when referral in the mixed dentition is appropriate, are:

  • Anterior or posterior crossbites
  • Asymmetry in the pattern of tooth eruption (e.g. a lateral incisor erupts before a central)
  • Molars of poor prognosis (seek opinion before extracting)
  • Lack of palpable canine bulges buccally (age 10 onwards)
  • Hypodontia
  • Supernumerary teeth
  • Submerging deciduous molars
  • Impacted teeth

Otherwise, please delay referral until the first premolars have erupted.

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Referral details



In order to help prioritise referrals effectively and to ensure your patient is seen at the correct time, please tick as many as apply:


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Referral information is transmitted to a secure server. All appropriate actions have been taken to ensure the privacy of data submitted online


Invisalign, DW Lingual Systems GmbH, Incognito, British Orthodontic Society, British Lingual Orthodontic Society, General Dental Council, BDA Good Practice Member Invisalign, DW Lingual Systems GmbH, Incognito, British Orthodontic Society, British Lingual Orthodontic Society, General Dental Council, BDA Good Practice Member
Book your visit with us today
Call 01744 882 222 or email info@rainfordortho.co.uk