Appointments

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To request an appointment please fill in the form below and click the send form button. You will be sent an appointment with your Dentist. If you are a new patient and only want to register please check the relevant box. New patients will be booked with the Dentist who has the earliest available appointment. 

We are currently accepting patients on a Private basis.

New Patient Assessment and 12 point Dental Health Check £87.

Emergency Private Pain Relief appointment £62.

For further prices and our Dental Care Plans click here

Fields Marked * need to be completed. Thank you

First Name *
Surname *
D.O.B. *
E-mail Address

*

Please check typed correctly

 

Address

*
Home Tel Number
Day time Tel Number
Are you an existing patient? Yes No*  Register Only 
How would you like us to reply?   E-mailPost Tel(h) Tel(w) 

 

Preferred Day(s)

Monday

Tuesday

Wednesday

Thursday

Friday

 

Preferred Time(s)

9.00-10.00

10.00-12.50

14.00-15.30

15.30-17.00

17.45-19.30 (Private tmt only, Dr Bates and Nicola Mottram only)

Any

 

Any Comments

 

 

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