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Patient Survey

For Dentists


I have been referring both my adult and child patients to Dr Belur for many years and have received countless positive compliments! Many patients comment on Vinay’s patience, gentleness and kindness. His attention to detail is fantastic and treatment results outstanding. Vinay’s concern for the welfare of his patient is paramount and , as the referring dentist, I find Vinay’s willingness to discuss cases and ease of communication extremely helpful.’’

Sarah Mac Gillvray Wycombe Dental Centre

Patient Details



Referring Dentist Details

If needed you can upload X-rays, referral form, or medical history etc after the above form is completed. Kindly note, the file sizes cannot be greater than 2MB in size.

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