5-6 Talbot Square, Cleobury Mortimer, Kidderminster DY14 8BQ

Refer to us

Cleobury Dental Practice is pleased to accept referrals for a wide range of dental treatments:

  • Oral Surgery
  • Advanced Restorative
  • Dentistry
  • Dental Implants
  • Conscious Sedation
  • Hygienist Services
  • Periodontal Care
  • Invisalign
  • Cosmetic Dentistry

Simply fill out the form below to refer your patient to us. We will then contact the patient and discharge the patient back to your care once the treatment is complete. If you have any queries or questions please contact us on 01299 271 747 or email us: hello@cleoburydental.co.uk

Referring Dentist's Details


Patient's Details


Referral Details

Where required by law, loans will be regulated by the Financial Conduct Authority and the Consumer Credit Act.

Credit is provided by Wesleyan Bank Limited who is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Wesleyan Bank Ltd (Registered in England and Wales No 2839202) Registered Office: PO Box 3420, Colmore Circus, Birmingham B4 6AE. Tel: 0800 358 1122. www.wesleyanbank.co.uk

Terms and conditions apply. Written quotations are available on request from Wesleyan Bank Limited. Credit facilities are subject to status and affordability checks and only available to UK residents over the age of 18.

Wesleyan Bank Limited reserves the right to decline any application. APR and repayment details are correct at time of print. 

Telephone calls may be recorded for monitoring and training purposes.

Kunal Raj Sirpal trading as Cleobury Dental Practice is a credit broker, authorised and regulated by the Financial Conduct Authority.