Please allow one full working day for a response from us. If you want to tell us that you cannot attend within the next 6 hours, please telephone us on 0151 638 5536. Please enter the following details:

    Your Name (required)

    You Address (required)

    Date Of Birth (required)

    Your Phone Number

    Your Email Address

    Do you have an existing appointment?


    Do you want to make a new appointment?


    If you have answered 'Yes' to either of the above questions then please supply us with some more information:

    When is your appointment? (Please state date and time)

    Do you wish to cancel this appointment?


    If you would like to make a new appointment, what day of the week would suit you best?

    And would you prefer AM or PM?


    Do you have any other comments?

    The information you send Martins Lane Dental using this form is emailed to them and not stored elsewhere. Please confirm you understand and are happy with this by ticking this box. You can ask for a copy of the information, or for your email to be deleted if it hasn't already been, by filling in the form above again.

    If you cancel your appointment(s) and do not contact us within 2 weeks to re-book, we will assume that you do not wish to complete your course of treatment and close your course down.  If you subsequently re-start the course, a new charge will be incurred.

    Please note, emails are accessed once a day only. Please do not use these forms for emergency appointment requests or same day cancellations.

    Unfortunately, we are unable to take on new NHS patients and have had to close our waiting list, we will re-open it as soon as we are able.
    *Update Nov 22*
    We are now taking on children, please call our reception on 638 5536 to book*

    Alternatively you can call on tel 0151 638 5536 during office hours.

    If you would like a Practice brochure, you can download it here (PDF – 310kb).