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Forms to Download & Complete at Home



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Please find below our forms for you to download, print and complete at home for your convenience prior to your first visit to the surgery.

The first three forms need to be completed by all new patients and require to be updated periodically for returning patients.

The final, Direct Acess Form, is required (in addition to the other three) for patients wishing to see the hygienist without a prior referral from one of our dentists.

We thought it would be helpful if patients are able to complete some of the paperwork and formalities in the comfort of their own home. This will also help to reduce the time you need to spend in the reception area ahead of your appointment time.

(Please note these forms have very specific content and as such need to be printed without editing and completed by hand)

Downloads

New Patient Registration Form

Medical History Form

Data Protection Consent Form

Direct Access Form (Hygienist)

193 Lymington Road Highcliffe Christchurch Dorset BH23 5EA
Telephone: (Freephone) 0808 1783524 or 01425 270247
email: contact@beaconlodge.net

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