Refer a patient | Endo by Mo

Before you refer

What makes a useful endodontic referral?

Include the tooth and FDI number, clinical and radiographic findings, relevant tests, proposed pulpal/periapical diagnosis, restorability, prior treatment and definitive restorative plan.

Patient confidentiality: This is a demonstration. Do not enter real names, dates of birth, contact information, medical history or clinical records. No real patient information should be entered or uploaded.

Read full guidance for referring dentists →

Referral scope: non-surgical primary root canal treatment, retreatment and assessment. Surgical endodontics and dental trauma cases are not accepted.

Demonstration only — do not enter real patient information. This page does not send, store or email referrals. Use fictional details only. The live secure portal, radiograph upload and clinical notifications are not yet enabled.

01 · Referrer02 · Patient03 · Clinical details04 · Local review

01 · Referring clinician

Dentist name *

Practice name *

Practice email *

Practice telephone

02 · Patient details

Fictional patient information only. Do not use a real name, date of birth or contact details.

Fictional patient name *

Date of birth (fictional)

Telephone (fictional)

Email (fictional)

03 · Clinical details

Tooth · select from 32 permanent teeth *

Selected: None · FDI numbering is shown in the accessible tooth labels.

Reason for referral *

Priority

Restorability

Symptoms (fictional)

Clinical findings / diagnosis *

Additional information

Radiograph upload: disabled in this demo. The live portal will require secure file handling, access controls and clinical governance review before any real radiographs can be submitted.

04 · Local review only

This information is displayed only on this screen. It has not been submitted, stored or sent.