Patient registration

NOW ACCEPTING NEW NHS PATIENTS – ONLY ACCEPTING PATIENTS AGED 18 OR UNDER. PLEASE SEE REGISTRATION PAGE FOR MORE INFORMATION

Register With Richmond Dental Practice

Please call the practice straight away to register your children or complete the form below and a member of our reception team will call you back within 5 working days to book your new patient examination.

If you wish to register multiple people then please add the extra names and dates of birth in the MESSAGE box.

If you have an urgent dental concern then please call the practice.

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.

Please note you are not registered with us until a new patient examination is completed.

PLEASE DO NOT COMPLETE THIS FORM IF YOU ARE OVER 18, ANY COMPLETED FORMS WILL NOT BE PROCESSED

Registration Form: Required fields marked with *.

We hope to get back to you within 5 working days, if you have an urgent query or need to cancel an appointment then please call the practice on 01684-561249.

Contact Information

  • 01684 561249
  • info@richmond-dental.com (General enquiries only)
  • Mon - Fri: 08:30 - 17:00
    Sat - Sun: Closed.
  • Richmond Dental Practice, Richmond Road, Malvern, Worcestershire, WR14 1NE.

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