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Hammersmith Dental practice
     
 

All new patients will be asked to complete some brief forms regarding their medical and dental history. All patients will need to complete forms (i) and (ii).

Patients who are enquiring about braces, or who are suffering from headaches should please also complete forms (iii) and (iv) and nervous patients should also complete form (v).

In addition to this all new patients are requested kindly to book an appointment by telephoning the surgery. It is a condition of the Practice that all new patients pay the consultation fee for their first consultation in advance of the appointment. For convenience this may be done by credit card over the telephone.

To return the forms electronically:

1. Download the required Word download a word version document to your Word program
2. Edit the document with your details
3. Save the document on your PC
4. Send an email to team@rdpholisitic.co.uk with completed forms as attached files.

To return the form by post:

1. Download the pdf document download an adobe version
2. Print document and fill in your details
3. Post to:

Ravenscourt Dental Practice
5 Ravenscourt Avenue
London W6 0SL

i. The confidential Medical History Form download a word version download an adobe version
ii. The Smile Check download a word version download an adobe version
iii. The TMD Questionnaire download a word version download an adobe version
iv. The Ortho Questionnaire download a word version download an adobe version
v. The Nervous Patient Dental Questionnaire download a word version download an adobe version
 
 
     
Hammersmith Dental practice

Ravenscourt Dental Practice Ltd
5 Ravenscourt Avenue
Hammersmith, London W6 0SL
team@rdpholistic.co.uk
www.rdpholistic.co.uk
Registered in England No 07109962
Registered Office: 43 Overstone Road London, W6 0AD

Hammersmith Dental practice