Address 1 Cervantes Court Inverness Terrace Bayswater London W2 6JE	Telephone: 020 7229 4627 Emergency cover telephone: 07803 928338 Email: info@bayswaterdental.co.uk
Opening Hours  Monday 9.00am to 6.00pm  Tuesday 9.00am to 7.00pm  Wednesday    Thursday 9.00am to 6.00pm  Friday 8.30am to 5.30pm Saturday Emergencies only

Appointments

Please respect our appointment system and give us as much notice as possible if you are unable to attend. Failure to give a minimum of 24hr notice of a cancellation may result in a charge.

Dental emergencies

If you have a dental emergency during practice hours, please telephone as early as possible to give us time to see and treat you. If you have a dental emergency outside of practice hours please telephone the practice and listen to the answer phone instructions. We offer an on-call service for all our patients.

Direction & Map

Getting Here By Bus You can catch the following buses to the practice: 94, 390, 70, 148

Getting Here By Car No congestion charge. Parking at Colonnades Car Park, Porchester Terrace North, Bayswater, London W2 6AU (at it's junction with Bishop's Bridge Road) PREFERENTIAL RATES: £1.50 PER HOUR

Getting Here By Tube Queensway (Central Line) 5min walk Bayswater (District and Circle Line) 2min. walk Paddington (Bakerloo Line) 10min. walk Royal Oak (Hammersmith and City Line) 7min. walk

Online Booking – Existing Patients

Fields in bold are required
Title	Select Mrs Miss Ms Mr Dr Other
First Name
Surname
Phone
Email
Date	Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September November December Year 2010 2011
Additional Information
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Online Booking – New Patients

If you are a new patient to Bayswater Dental Clinic please complete the following form. If you do not wish to book online please call us on 020 72294627 to arrange your first appointment and complete this form for your first assessment. If you are an existing patient please click here.

Title	Select Mrs Miss Ms Mr Dr Other
Name
Surname
Email
Phone
Address
Postcode
Appointment Information
Date	Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September November December Year 2010 2011
Time	am pm
Appointment Information
Are you insured?	yes  no
Date of Birth	Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September November December Year 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Last Dental Visit	Month January February March April May June July August September November December Year 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000
General Questions
Are you happy with your smile?	yes  no
Would you like your teeth to look whiter or brighter?	yes  no
Are your teeth sensitive?	yes  no
Have you any teeth you think are unsightly, misshapen or out of line?	yes  no
Are you concerned you may have bad breath or an unpleasant taste in your mouth?	yes  no
Do your gums bleed when you're brushing or flossing?	yes  no
Do you suffer from headaches/neck aches or shoulder pain?	yes  no
Do you clench or grind your teeth?	yes  no
Do you smoke?	yes  no
Number of cigarettes per day:
Are You Concerned About?
Old crowns that now do not match your other teeth or have dark lines at the gum?	yes  no
Old or stained fillings that show when you smile?	yes  no
Silver fillings that you would like replacing with tooth coloured restorations so that they blend in better?	yes  no
Any missing teeth that you would like to replace?	yes  no
Are You?
Receiving treatment from a doctor, hospital or clinic	yes  no
Taking any pills, medicines or tablets	yes  no
Allergic or have you reacted adversely to:
a) Penicillin or any other drug or medicine	yes  no
b) Latex or other materials	yes  no
Taking any of the following:
a) Antibiotics	yes  no
b) Anticoagulants	yes  no
c) Medicine for high blood pressure	yes  no
d) Cortisone (steroids)	yes  no
e) Insulin or other medication for diabetes	yes  no
f) Other	yes  no
In The Past Have You?
Had any serious illness or operations?	yes  no
Had any of the following diseases or problems:
a) Rheumatic fever or rheumatic heart disease	yes  no
b) Heart trouble, replacement heart valve, high blood pressure or stroke	yes  no
c) Sinus trouble	yes  no
d) Asthma	yes  no
e) Diabetes	yes  no
f) Hepatitis or HIV	yes  no
Had abnormal bleeding associated with previous extractions,surgery or trauma?	yes  no
Had any problems with previous dental treatment?	yes  no
Women Only
Is there any possibility that you may be pregnant?	yes  no
Estimated date of delivery?	Month January February March April May June July August September November December 2010 2011 2012
Additional Information
How did you hear about us
Friend/colleague Press Coverage British Dental Association British Academy of Cosmetic Dentistry Confetti Website Google Internet Search Other
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