Download and print this medical history form and questionnaire to bring to your first appointment.

Smile Questionaire Medical History Form

Your new patient journey begins:

Whether your initial contact with The Smile Centre is by a phone call, our website or personal contact with one of our friendly helpful reception team, we aim to ensure that from the beginning of your experience you will receive the highest level of patient care, treatment and service.

We strive to answer all your question in a clear and professional manner making every visit to The Smile Centre a happy and relaxed one.

A member of our reception team will ask a few questions to establish why you wish to attended our practice, whether it be a routine examination, cosmetic treatment, emergency or any other dental issues, this way we can make sure you are seen as quickly as possible and by the right dentist.

Booking your appointment

We understand that most of us lead hectic lifestyles, and so when booking your appointments we are happy to work around your needs and will spend as much time as necessary to ensure your appointment time best suits you.

Before you attend your first appointment you will either receive a welcome pack explaining a little bit more about the practice or be advised to look at our website at


Your first appointment

On your first visit to The Smile Centre you will greeted by one of our friendly reception team who will ask you to fill in Medical sheet and Smile assessment, this is to ensure that your treatment will take into account any medical issues you may have and is there for your safety. The Smile questionnaire will assess if you have a particular interest in having your teeth straightened, teeth whitened, or any other dental or cosmetic queries. Both of these forms can be downloaded from our website.

You will be shown through to our comfortable patient lounge where you can relax. Your dental nurse or hygienist will then take you to the appropriate treatment room. We do understand that this can be quite a stressful time for most people, so we will sympathise with your fears and endeavour to make sure everything is done at a pace you are comfortable with.


Treatment Plan

Once you have attended your first appointment, your dentist will be happy to answer any questions you may have regarding your treatment, please feel free to ask as we want to ensure that you are 100% happy with your planned treatment.

At the reception desk you will be given a written or emailed treatment plan with the cost of the treatment. Once again please feel free to ask our experienced reception team any questions you may have.

This treatment plan estimate will need to be signed and dated before treatment can commence. We will also need to know how you plan to pay for your treatment – please be aware we do not accept cheques.



Your treatment will commence according to the treatment plan. Your dentist will keep you informed of the progress of the treatment making sure you are 100% happy with the results. Should any alterations to your treatment plan be required , these will be explained and agreed with you before any changes are made.


After your treatment is complete

After your treatment is complete we will continue to make sure your oral health is maintained. Regular visits to your dentist and hygienists are so important. our highly trained reception team will send you a letter or email reminding you that you need to book your next appointment. Please call them on 01268 742333 to arrange your next visit. If for any reason you need to cancel an appointment please let us know as soon as possible so we can book another patient in, we do ask you to give at least 48 hours, please be aware that late cancellation fees may apply.