If you would like to refer a patient for sedation please fill out the form below.

    Patient Information

    Medical Information

    Referral Details

    Radiographs Included - Leave Blank For No

    If you would like to receive news & updates from us, please check the box to subscribe to our newsletter.


    © Manor Dentists, 216 Washway Road, Sale, Cheshire M33 4RA 0161 973 3501 2014. All rights reserved.