Pre-Registration and Medical History Form

You can download and print the Medical History Form and bring completed forms with you before your appointment to avoid delays.
We send only email reminders for your appointments, Please make sure that you provide your up to date Email and Mobile contacts.
Thank you for your cooperation.
Please read our privacy policy page before sending forms

You can get free dental treatment if you: -

Are under 18 years old
Are aged 18 and in full-time education
Are pregnant or are a nursing mother.
Unless you are in one of the groups entitled to free NHS dental treatment or help with the cost you will require to pay 80% of the cost of your NHS dental treatment up to a maximum of £384 per course of treatment. Examples of costs for some types of NHS treatment are shown in the table below. Fees are as of 1st Oct 2016. There is an increase in charges since 2016 please ask your dentist for updated charges.

Please note that NHS fee structure is complex and varies considerably from patient to patient depending on the treatment required.

Treatment	Cost
Examination	no charge
Two small X-rays	£6.10
Simple gum treatment (scale & polish)	£11.12
Average amalgam (silver) filing	£19.00
Root canal treatment without fill	£85.70
Single crown from	£112.12
Simple extraction (one tooth)from	£7
Complete (upper and lower) dentures starting from	£150.28
Please note there is a late cancellation (Less than 24 Hrs)/ Failed to attend charges*	£5/5min each

See Help with Health Care Costs for further details.

Cosmetic cures like Adult Orthodontics, Tooth Whitening, and Implants, Tooth coloured fillings or a tooth coloured crown on a back tooth, are not available by the NHS and are charged privately. Please contact the surgery for a free discussion appointment or fill in our contact us for more information.