Call us 01788 579 886
320 Hillmorton Road
Rugby, Warwickshire  CV22 5BP
Email us

New Patients 

Our dental practice is able to accept new patients on the following basis:

Online registration form
Your first name:
Your surname:
Your date of birth:
Your telephone:
Your email:
Your address:
 
 
Your town:
Your county:
Your postcode:
   
People to be registered
 Name D.O.B. [dd/mm/yyyy] Private/NHS
 
 
 
 
 
Although we take every precaution to ensure patient confidentiality we cannot guarantee that the information you provide on this form can be transmitted securely via the Internet. If you are concerned about this please telephone us.

   NHS treatment for children only
   Private treatment for adults only
   Private treatment for adults & children