Refer online

Refer a patient to Castle Park Dental Care by completing the form below.

Patient title *

Patient first name *

Patient surname *

Patient date of birth *

Patient contact telephone *

Patient contact email

Patient address and postcode *

Type of Referral *

Periodontics Dental Implants Anti Snoring CBCT

Please tell us about your referral *

How many radiographs or other images do you want to upload? *

File 1:
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File 2:
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File 3:
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File 4:
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Referring dentist title *

Referring dentist name *

Referring dentist contact email *

Referring dentist contact telephone *

Referring dentist job title *

Referring dentist GDC number *

Referring practice name *

Referring practice address and postcode *

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Castle Park Dental Care,
28 Castle Road,
Cottingham, East Yorkshire,
HU16 5NA

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01482 770597

Opening times
Monday 9:00am - 6:00pm
Tuesday 9:00am - 5:00pm
Wednesday 9:00am - 6:00pm
Thursday 8:15am - 6:00pm
Friday 9:00am - 5:00pm

Website last updated: 11 Aug 2026, 03:52:46 PM