Refer a patient to mydent, hét mondzorgcentrum Utrecht

You can refer your patient/client to mydent, hét mondzorgcentrum Utrecht for the following treatments:

Of course, you can always count on accurate reporting and referral back. Patients cannot register with us directly. They will always be referred back to your practice for any further treatments.

If you would like to refer a patient, they will be contacted within a few days for a consultation. During this consultation, the treatment options will be discussed with the patient. The treatment plan will also be shared with you.

Referral form

Practical information
Patient information
Additional radiography questions (OPG/CBCT/RSP)
If “Producing/assessing X-rays (OPG/CBCT/RSP)” has been selected, please complete the questions below. If this does not apply to you, you may skip this section.