Patients wishing to register will be asked to complete a new patient questionnaire, once we have received your application you will have to telephone the practice to make a New patient Registration Appointment with a practice nurse. If you change your name, address or phone number, please let our receptionist know. If you move outside the practice area, it will be necessary for you to find a new doctor in your new area.

Please not there is also a practice application form which also requires completion along with the NHS application form, this can be requested by email at the email address below. We will email you a form back to the email address which you provided, or you can collect an application form at the surgery.

Download an application form

You may need to download Adobe Acrobat Reader to edit and save your form. For more information on saving forms, visit the Adobe website.

Once your application form is completed please email to please note this email address is for Registration Forms only. If you are unable to access an application form in this way you can collect an application in person from the surgery. All application forms must be completed fully.

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Bonnar & Co Kirkshaws Dental Practice