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Schedule an appointment with the best dentists today. At Northlane Dental, you will receive the best dental consultation and treatment from the top dentists. Set an appointment now!

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    Are You

    Attending or receiving treatment from a doctor,
    hospital, clinic or specialist?
    Taking any medicines from your doctor?(Tablets, creams,
    ointments, injections, other) please list as fully as you can.
    Taking or have you taken steroids in the last two years?
    Allergic to any medicines, foods or materials?
    Pregnant, if so what date is the baby due?

    Have You

    Had rheumatic fever or chorea (St Vitus Dance)?
    Had jaundice, liver, kidney disease or hepatitis?
    Taking or have you taken steroids in the last two years?
    Have a heart problem, angina, blood pressure, heart murmur or had a heart attack?
    Been advised you need antibiotic cover for
    dental treatment?
    Had any blood tests, inoculations etc?
    Ever had your blood refused by the Blood Transfusion
    Service?
    Had a bad reaction to a general or local anaesthetic?
    Had a joint replacement?
    Been hospitalised ? If “Yes” what for and when?

    Do You

    Have arthritis?
    Have a pacemaker or have you had any form of heart surgery?
    Suffer from hayfever, eczema or any other allergy?
    Suffer from bronchitis, asthma or other chest condition?
    Have fainting attacks, giddiness, blackouts or epilepsy?
    Have diabetes or does anyone in your family?
    Bruise easily following a tooth extraction, surgery or injury? Have you or your family bled so as to cause you to be worried?
    Carry a warning card?
    Ever get cold sores?
    Are there any aspects concerning your health that you
    thinkthe dentist should know about?
    Do you smoke? If so how many a day?
    Do you drink? If so how many units a day?

    Select Your Convenient Date & Time


    Our Cases &
    Patient Smile
    Stories

    Our experienced dentists and team strive relentlessly to ensure that every patient gets exceptional dentistry via our personalised, sensitive approach and extensive range of treatments. Learn more about our clinic by reading our cases and patient smile stories.

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    North Lane Dental Practice

    38 North Lane Aldershot GU12 4QG

    Call us on : 01252 310 668
    Email Us : Enquiries@northlanedental.com

    • Monday to Friday
      9.00 AM – 5.00 PM
    • Sunday
      10.00 AM – 5.00 PM

    Book an Appointment

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