New Patient Application Form

 

Paddox Dental Practice is happy to welcome new patients to the Practice

The practice is currently accepting new patients on a fee paying basis.

Patients can pay-as-they-go or we do offer payment plans. For more information on the dental plans we offer and our current price list please consult our website. 

We are no longer accepting new NHS Patients -(updated May 2019)

Name *
Name
D.O.B *
D.O.B
Your Address *
Your Address
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