Medical History Form Download
If you are attending our practice for the first time, we will ask to to fill out a medical history form. Save time by completing it at home! After downloading the document below, please print out and complete the form before bringing it with you to the first appointment. If you don't understand any part of it, leave that section blank, and we will help you to complete it when you attend.
Southgate Smiles Medical History Form PDF Download (1 MB approx.)
Private Patients Registration Form
Please complete the form below and submit. We will call you back to arrange an appointment for your initial examination.
We regret that we cannot accept NHS patients via online registration. Please call the practice on 02088820999 Monday to Friday between 9am and 6pm to arrange your NHS examination.