Register today

We are welcoming new patients. If you're applying solely for yourself, simply use the form provided, otherwise click the button below to launch a family application. Alternatively, you can contact us using the following details.

More Information

Email

info@elmparkdentalsurgery.com

Phone

01708 451 882

Family Applications

Click the button below to register your whole family in a single application.

Click Here

Title

Name

Gender

Date of Birth

Telephone

Email

Address

NHS Number

Do you take any medications?

Anticoagulants

Do you have any allergies?

Penicillin or Amoxicillin

Do you have any chronic illnesses?

Diabetes

Have you had any major dental procedures?

Filling(s)

Do you experience any of the following issues?

Tooth Pain

Are you experiencing any dental concerns currently?

Do you require any dental hygiene services?

Consent

Your registration form has been submitted.
We will get back to you within 24-48 hours.

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FAQs

Frequently Asked Questions

What services do you offer?

We offer a broad range of dental services, everything from routine examinations to cosmetic treatments and facial aesthetics. Review our Services page for more information.

Do you offer appointments on weekends?

We are open from 9am to 1pm on Saturdays but are closed on Sundays and Bank Holidays.

How many dentists does your clinic have?

We currently have 4 fully qualified, highly experienced dentists each of whom is fully trained in the latest dentistry techniques and technology.

What is the cost for an appointment?

Our costs vary depending on the service(s) you require. Please enquire today so we can assess your needs and recommend the appropriate treatments.