Northline Family Dental

Request an appointment

Tell the practice what you need and when might suit you. Send your name, an email address and a preferred date or a general time of day — a phone number helps but is optional. The practice owner reviews every enquiry and replies from there: nothing is booked automatically and no appointment is confirmed until someone speaks with you.

The practice replies to this address when it reviews your enquiry.

When might suit you?

Give one or the other — a specific date, or a general time of day. At least one is needed for the practice to help.

Only if you would rather the practice called. Leave it out and it will email.

This form asks only for the details above. It never asks for medical histories, symptoms, diagnoses, insurance numbers or any other sensitive patient details, and there is no notes field — please keep clinical information out of your enquiry. The practice will ask anything else it needs when it contacts you.