Register

We are planning to open this summer after our building has been renovated. If you would like to register your interest in becoming a patient, please fill in the information below and we will be in touch once we can take appointments*. We look forward to welcoming you once we are open.

Name

First Name

Last Name

Phone

(###)

###

####

How many people do you want to register?

What services are you interested in?

Registering as a new NHS patient

Registering as a new Private patient

How did you hear about us?

Message

I consent to my data being stored for the purpose of marketing emails

*We will accept as many patients as possible. However, if demand is high, we may need to limit the number of patients and will accept patients in the order they register. To secure your place and help us plan for the necessary number of dentists, please register early.

On submitting this form you consent to Newington Dental Care collecting your personal data. For more information please read our privacy policy.