To obtain best and safest treatment, your dentist needs to know if any problems which may affect your treatment:
1. I am the patient completing this form / I am the parent or guardian of the named child under the age of 16years completing this form.
2. I accept that the information I have given is true to the best of my knowledge and I have not withheld any information concerning my / my child's health.
Recalls & Reminders by Letter: These are messages sent to remind you of upcoming appointments, if you are due your regular dental check-up or if you have missed an appointment.
Practice Updates by Letter: These are messages the practice will need to send occasionally regarding any updates such as cancellation of appointments, if the practice is closed or other such messages.
Special Offers & Promotions by Letter: These are messages the practice will send on the odd occasion regarding special offers, promotions or other such messages.
Following our regulatory bodies advice and guidelines we unfortunately now have to close the dental practice for the foreseeable future.
Both our patients and all staff are at high risk of spreading and contracting the virus during dental treatment, where there is very close proximity to the mouth.
If you have a dental emergency such as pain or swelling please call for further advice on 01482 666635.
Thank you for your understanding and continued support during these unprecedented times.
From all the team at Cosmetic & Family Dentistry