When you are ready to make an appointment with The Merton Dental Centre, please Call us on 0208 544 1122 or fax us on 0208 288 1122, or you may complete the proforma below and we will contact you to confirm.

Your full name:*
Home Telephone number:*
Home address:
Postcode:
Work Telephone number:
email address *
On what day would you like to see us?
At what time would you like you appointment?
Are you currently a patient at our practice: Yes No
How did you find our web site: