NHS Waiting List

Please note that our NHS waiting list is currently closed as from 08.01.2020, any forms submitted after this date will not be placed on our waiting list. We will update this page when the waiting list re-opens.   

To add your name and/or your family to the waiting list there are a couple of  options:

1)  Complete the form below, please  click ‘submit’

2) Visit the clinic during opening hours and complete the relevant form

Clinic Opening hours are: 8.30 am to 5:00 pm Monday to Thursday, 8.30 am to 12.30 pm Friday

 

NHS Waiting List Form

  • Date Format: DD slash MM slash YYYY
  • Reason you are exempt (ie Under 18 aged 18 and in full-time education, Income Support, Pension CreditGuarantee, Income Based JSA, Income Based ESA, Tax Credit exemption card or certificate, Universal Credit,HC2 certificate, Pregnant or had a baby within the last 12 months).
  • Other family members, at same address, who are looking for NHS dental care/treatment:
  • This field is for validation purposes and should be left unchanged.