We welcome your dental referrals to Michael Shipway Associates Dental Clinic in Cheltenham.
We look after patients:
If you are a Patient:
If you are a Dentist:
Click here to download the Michael Shipway Referral form.
You can also download the Michael Shipway Medical History Form PDF by clicking here.
Please fill in as many details as you can. Fields which have this symbol * need to be filled in.
Please note that when you click the SUBMIT Button at the bottom, all your details will be sent via email to Michael Shipway & Associates and are completely confidential.