Triaging for COVID 19 is STILL required in Level 1 under Dental Council guidelines. Please fill out this form, if you have an appointment in the next 24 hours ONLY. This form is not valid if it is filled more than 24 hours in advance. We have been asked to maintain practical distancing in our waiting areas. Only ONE attender will be allowed with a disabled or elderly patient or a child, into the practice. Thank you for your kind understanding.
If you are not a patient who is registered with us, please go to the Registration Forms link on our website and register with us by filling out a two page Registration and Medical history form. This can be done AFTER you fill out this form. We will not be able to see you or give you a prescription until you have completed our registration process.
I provide general consent to the dentists at MDental to provide me with dental advice, treatment or a prescription.
After you have clicked the 'Submit' button on the left, you should receive a confirmation message that your form(s) has/have been submitted. If you do not receive a confirmation message, please contact the practice on 020 433 6825 (020 4 DENTAL) or email the practice at email@example.com . We unfortunately cannot see you for your appointment until your triaging form has been completed.