[vc_row type=”in_container” full_screen_row_position=”middle” scene_position=”center” text_color=”dark” text_align=”left” overlay_strength=”0.3″][vc_column column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” width=”1/1″ tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid”][vc_column_text el_class=”contact-style” css=”.vc_custom_1509890966643{padding-bottom: 10px !important;}”]New Patient Registration Forms[/vc_column_text][vc_row_inner column_margin=”default” top_padding=”15″ text_align=”left”][vc_column_inner column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ width=”1/1″ column_border_width=”none” column_border_style=”solid”][vc_column_text el_class=”anything-to-ask”]Please download either the Adult or Child new patient registration Form; along with the Medical History Form. Once complete please return to:

11 Rowcroft
Stroud
Gloucestershire
GL5 3AZ[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner column_margin=”default” text_align=”left”][vc_column_inner column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ width=”1/1″ column_border_width=”none” column_border_style=”solid”][divider line_type=”Full Width Line” line_thickness=”1″ divider_color=”default” custom_height=”1″][/vc_column_inner][/vc_row_inner][vc_row_inner column_margin=”default” text_align=”center”][vc_column_inner column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ width=”1/3″ column_border_width=”none” column_border_style=”solid”][vc_column_text css=”.vc_custom_1509891432105{padding-bottom: 10px !important;}”]Adult Registration Form[/vc_column_text][nectar_btn size=”large” open_new_tab=”true” button_style=”regular” button_color_2=”Accent-Color” icon_family=”fontawesome” url=”http://www.rowcroftdentalcentre.co.uk/wp-content/uploads/2023/07/New-Patient-Form-Adult.pdf” text=”Download” icon_fontawesome=”fa fa-download”][/vc_column_inner][vc_column_inner column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ width=”1/3″ column_border_width=”none” column_border_style=”solid”][vc_column_text css=”.vc_custom_1509891599585{padding-bottom: 10px !important;}”]Child Registration Form[/vc_column_text][nectar_btn size=”large” open_new_tab=”true” button_style=”regular” button_color_2=”Accent-Color” icon_family=”fontawesome” url=”http://www.rowcroftdentalcentre.co.uk/wp-content/uploads/2023/07/New-Patient-Form-Child.pdf” text=”Download” icon_fontawesome=”fa fa-download”][/vc_column_inner][vc_column_inner column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ width=”1/3″ column_border_width=”none” column_border_style=”solid”][vc_column_text css=”.vc_custom_1509891611512{padding-bottom: 10px !important;}”]Medical History Form[/vc_column_text][nectar_btn size=”large” open_new_tab=”true” button_style=”regular” button_color_2=”Accent-Color” icon_family=”fontawesome” url=”http://www.rowcroftdentalcentre.co.uk/wp-content/uploads/2023/01/mh-new-2022.pdf” text=”Download” icon_fontawesome=”fa fa-download”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row]