Register With Richmond Dental Practice

Please call the practice to register straight away or alternatively you can complete the form below and the reception team will give you call back to arrange your first appointment.

If you wish to register multiple people then please add their details below or we can take these from you on your call back.

You will be asked to complete a medical history form on arrival, so please bring a full list of any medication you may be taking with you.

You will also be asked to sign an NHS Practice Record (PR) Form, so if you are exempt from paying NHS dental charges for any reason then please bring your evidence with you. Further details are available from the NHS BSA website.

Registration Form: Required fields marked with *.

Contact Information

  • 01684 561249
  • info@richmond-dental.com (General enquiries only)
  • Mon - Fri: 08:30 - 16:45
    Sat - Sun: Closed.
  • Richmond Dental Practice, Richmond Road, Malvern, Worcestershire, WR14 1NE.

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