Rocky Lane Dental Practice

    
     72 Rocky Lane, Monton
     Eccles Manchester
     M30 9LY
     Tel: 0161 789 1557
 

 
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New Patients

We ask all new patients to complete the following Medical Questionnaire and forward it to the surgery prior to your first appointment.

Many patients prefer to download the form then fill it in off line and bring it with them when they make their first visit. Here are two versions for you to download and print off. 



 Adult Questionnaire

 Child Questionnaire

 Patient Contract

       
 Please sign the form before you bring or send it into the surgery

DID YOU KNOW

If you are 10 mins late we will more often than not rebook the appointment.

Failure to make an appointment:

If you fail to attend you will be asked to make a deposit. Two failed appointments in 2 years will result in you being removed form our patients list.

 





Rocky Lane Dental Practice 72 Rocky Lane, Monton Eccles Manchester M30 9LY Tel: 0161 789 1557