By signing below I acknowledge that I have read this Consent form and understand its contents; that I have been sufficiently informed of the risks involved in attending and give my voluntary consent in signing it as my own free act and deed. I have had the chance to ask any questions and queries about my treatment at the practice
This Consent form will remain effective until laws and mandates relevant to COVID-19 are lifted. If I have any symptoms or anything that breaches this consent form, I must not enter the buliding and call the practice on 0161 478 2980 immediately to cancel this appointment.
I understand that I must give immediate notice to the practice of requiring to cancel an appointment. Any appointment that is NOT cancelled within 24 hours will be considered a failed appointment. I understand the practice reserve the right to deregister me if I fail my initial appointment/ two dental appointments within a year or if I cancel at short notice for 2 appointments.