New Patient Registration Form (NHS places for Under 18s at West Park Dental in Brighouse only)

If you have been invited to register for an NHS dentistry place for a person under the age of 18 at West Park Dental in Brighouse, please complete the information below.

The places are on a ‘first come, first served’ basis and are expected to go very quickly. Anyone registering after the places have gone will be added to our waiting list.

You will be contacted by one of our friendly reception team to invite you for a first appointment as soon as a place is available.

Submission of this form is confirmation that we have received your details, so we kindly ask you await our phone call and please don’t contact the practice by telephone beforehand.

All the best,

 

West Park Dental

Please note: To help speed up your registration with us, please take a moment to read and fill in our Dental Therapist Consent Form using the link below.