Services
We offer a range of dental services to provide you with a great smile building  your confidence.
Checkups
Cleaning
Sealing
Fillings
Crowns
Root Canal
Bridges
Dentures
Veneers
Teeth Whitening
We take on New patients.
NHS as well as Private
New patient registration
Bosworth Dental Ltd
To register as a new patient at our practice complete the registration form below and submit.
You will be contacted by a member of our staff for an appointment with or Patient Care Coordinator and assigned a Dentist.
All new patient are required to complete a Patient Medical History Questionnaire. This can be completed on the day of your first meeting or before. You can collect  or request copy by post. One questionnaire per family member is required.
Title
Name:
Date of Birth
Additional family members & Dates of Birth
Building.Street name &
Number:
City:
County:
Post Code
Home Tel:
Mobile Nr:
Work Tel:
Email:
Enter code in text box
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Important Notice:
We conform with the Data Protection Act1998 and are registered to store your details. Our Practice Policy is not to share patients data with 3rd parties for any reason.