Although rare, accidental injury to your dentist and staff can occur during the handling of sharp used instruments. If this happens during the course of your treatment, our practice requires both the patient and staff member to undertake a blood test. Do you agree to a confidential blood test if required?

I confirm that the above medical history is a true and accurate record. I understand that this information helps to ensure patient safety during treatment

I Understand failure to attend an appointment, late attendance or cancellation within 24 hours may incur cancellation fees.

I understand that payment is required at the time of treatment/consultation. Unpaid accounts may incur administration and third party collection fees.