Privacy Policy
Privacy notice to patients.pdf
Adobe Acrobat document [530.6 KB]

Contact Form

Your form message has been successfully sent.

You have entered the following data:

Please correct your input in the following fields:

Error while sending the form. Please try again later.

Name: *

Address: *

E-mail address: *

Telephone/fax: *

Date of Birth *

I would like to see the hygienist

Please arrange a free braces consultation

Please arrange an implant consultation

I am interested in Teeth Whitening

I am Interested in botox and lip fillers

I would like to register as a private patient

Message: *

I herby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time. before submitting, please note our NHS list is currently closed.

Note: Fields marked with * are required

City Dental

51-57 East Bond Street

Leicester

LE1 4SX

Tel: 0116 2514577

WhatsApp: 07383 230 230

e-mail: city.dental@nhs.net

To register, please download and fill in a medical history form below

Find us on Facebook

https://www.facebook.com/citydentalleicester1/

City Dental MH.pdf
Adobe Acrobat document [329.0 KB]

Print Sitemap

Web View Mobile View

Logout Edit page