Please complete these forms if you are a new patient wishing to register with the practice.

New patient appointments involve a thorough examination – the dentist will be able to discuss all your treatment options, including timeframes, and give you an estimate of the costs involved. The charge for a new patient appointment is £115, x-rays and scans if needed, will be charged accordingly, making a maximum charge of £181.00.  Please note that a £90 deposit is required at the time of booking, this will then be deducted from your account on the day of your appointment.

Once the forms have been received we will contact you to make an appointment.

If you have any queries, please do not hesitate to contact us on 01225 339767.

Please note that all of our surgeries are on the first floor and are accessed via a spiral staircase. 

Patient Details

To provide the best and safest treatment, your dentist needs to know of any medical problems which may affect your treatment.
Please tick all that apply