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          • I am a nervous patient. I cry through the exam let alone any treatment!! Today these lovely people got me through an extraction with no sedation!!

            Fiona Berry 10/03/2018
          • I was out of the area I needed a dentist ASAP so from word of mouth I was recommended to go to Rock House Dental Practice and what a dentist. One of the best Practice I have been to yet, clean and tidy and the staff where like family to me very welcoming I will visit again when and if... read more

            manjinder sehra 7/19/2019
          • phoned 9.30 saturday morning with dental emergency the lady on the phone was so helpful and understanding she got me a appointment for 10.15 . When i got there i was seen straight away seeing i was in pain and a bit distressed they were very patient with me the dentist explained everything clearly to me what the problem was... read more

            mark atkins 8/12/2019
          • Fantastic dentists who really care about their patients and try and do as much as they can to help! I have always been treated kindly by all of the staff and would recommend anyone to them.

            Ashwin Jayna 5/26/2019
          • Staff are very competent and friendly. Efficient use of IT for booking etc. Good location, plenty of parking. Would not hesitate to recommend the Practice

            Paul Smith 11/27/2018
          • Thank you so much for today. I was so nervous and you really calmed me down and I’m so grateful that you fixed my tooth temporarily. I have registered with your clinic and, while I can’t say I’m looking forward to visiting you again, I do at least trust that you can help.

            Angela Facer 4/23/2019
          • I have been a patient of Dr Nandra for many years.
            Over this time the standard of care that I have received has always been truly outstanding.
            Other members of staff I have encountered, both reception and nursing have been friendly, very helpful and totally professional.

            William Powers 1/23/2019
          • Highly professional yet with a great balance of a welcoming & relaxing atmosphere. My first treatment here was smooth and with outstanding results. Highly recommended.

            Keith Dipple 9/10/2019
          • I've been a patient here for 15 years and it's got better and better. Fantastic service from start to finish. I've recently had 4 implants and would recommend highly.

            PAUL REEL 7/27/2019
          • I had used rock house for an emergency treatment and they seen me within an hour and managed to alleviate the pain. I then had a few more treatments too.
            I had some concerns with one treatment but Anoup has gone above and beyond to ensure that this was rectified. I genuinely can’t fault their approach to customer satisfaction.

            Peter Winfield 12/11/2018
          • Best dental surgery I have used so far, from the approachable staff behind the desk to the highly skilled dentist Dr Nandra and his team. Anyone looking for a lifelong and easy dentist to go too, I highly recommend Rock House Dental. Thank you Guys 'see you in 6 months'. :)

            Rosie Guru 11/25/2018
          • I am most fortunate to have Rock Dental Practice as my surgery, since the first day I walked into their practice over three years ago, I have received nothing less than a very warm and courteous reception from all staff. I have required some dental work which was crucial, the time, care and the level of work done was Ace... read more

            Geneva Carney 10/17/2018
          • Another excellent experience. Dr Nandra, Dawn and the team are always friendly and professional and make a potentially nerve wracking experience, for the anxious-patient like me, relaxed and (almost!) enjoyable. I can't recommend Rock House highly enough. Thanks again for your care and kindness guys.

            Samantha H 5/08/2019
          • This practice has a very professional and relaxed feel about it. The treatment is carefully planned and executed. Overall very happy with the service provided. Would definitely recommend to others.

            Simran Bhogal 8/13/2018
          • These guys have proved time and again for me that they care more, when I needed emergency care they performed miracles and then repeatedly rang me to check how I was. Then they coached me to make sure it didn't reoccur. They've repeatedly told me not to have treatment if they wouldn't themselves rather than just selling to the max.... read more

            James Crowter 3/13/2019
          • Great service and always friendly staff :)
            All dental work and anything that needs to be checked or kept note of is always fully explained to me.
            Thanks to everyone and Happy Christmas :)

            Mark Hatton 12/11/2019
          • I came to the practice a couple of weeks ago for the first time. The staff were very professional and welcoming and made the whole experience comfortable. All staff took their time to answer my questions and made me feel at ease. Will definitely go back.

            Suki Virdi 7/26/2019
          • Went to This dentist today for an emergency appointment. Exceptional from receptionist to dentist. There’s no one more nervous about visiting the dentist than me and they made me feel completely at ease. Had to have the tooth extracted but my dentist Kiran made sure it was completely painless. Can’t thank you enough x
            So impressed I have registered with...
            read more

            Karena Hampl 1/28/2019
          • I have been a patient here for a few years and the service is always first rate. All of the staff make you feel very welcome as going to the dentist is not everyone's cup of tea. I usually see Kiran who is highly professional and extremely dedicated. She always clearly explains what she has found in her examinations and... read more

            Patrick Bowers 11/20/2018
          • I have been a patient here for nearly 10 years and it just gets better and better. A great dental practice and the team are just amazing. Friendly and welcoming. Truly wonderful dental practice.

            Stephanie Barker 8/20/2018
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    • Opening Hours
    • Monday8:30 AM — 5:30 PM
      Tuesday8:30 AM — 7:00 PM
      Wednesday8:30 AM — 5:30 PM
      Thursday8:30 AM — 5:30 PM
      Friday8:30 AM — 5:30 PM
      Saturday9:00 AM — 12:00 PM
      SundayClosed
    • Google Maps

      Rock Map
    • William Powers Avatar

      I have been a patient of Dr Nandra for many years.
      Over this time the standard of care that I have received has always been truly outstanding.
      Other members of staff I have encountered, both reception and nursing have been friendly, very helpful and totally professional.

      William Powers 1/23/2019
    • Contact Us

Online Medical History Form

Online Medical History Form

Completing medical history information is now a standard and required part of visiting your Dentist.

Accurate dental records can help practitioners to reach a diagnosis by providing detailed information about a patient’s changing oral health. Detailed records can also help to prevent adverse incidents, for example, if the records are not clear the wrong tooth could be treated. Records should also enable another clinician to easily understand a patient’s current state of health and the nature of any care that has been given.

It is essential that we have the latest information to hand when treating our patients, and so you may be required to fill out a new medical history every time you attend.

Your dentist will review your medical history form with you confidentially during your appointment.

In order to help us meet all of your dental health care needs, please complete the following Medical History Form.

Rock House Dental Practice Confidential Medical History

Title:
  • - select your title -
  • Mr.
  • Miss.
  • Mrs.
  • Dr.
  • Prof.
  • Other
First Name:
Last Name:
Gender:
  • - select a option -
  • Male
  • Female
  • Mixed Gender
Date of Birth:
Ethnic Group:
Address:
City:
Post Code:
Email Address:
Mobile Phone Number:
Phone Number:
Next of Kin & Contact Details
Doctors Name and Practice Address:

Medical History Details

The next few pages will ask you questions about your medical history. Click next to move through the pages. Please compete as fully as possible.

Habits

Do you smoke or use nicotine products?
Do you chew tobacco, pan, gutka, supari?
Do you consume alcohol (number of units)?
Do you have high sugar frequency / intake?
Do you have high acidic food or drink frequency / intake?
Do you take recreational or illegal drugs?

Heart

Have you ever suffered with Rheumatic Fever?
Do you have high blood pressure or hypertension?
Have you ever undergone heart surgery?
Do you wear a pacemaker?
Do you have a heart murmur?
Do you have angina?
Have you ever suffered with thrombosis?
Have you ever suffered a heart attack?
Do you have any other heart conditions?

Blood

Do you have Hepatitis A, B or C?
Do you have HIV or AIDS?
Have you ever had an abnormal blood test result?
Ever had blood refused by a blood transfusion service?
Do you have anaemia?
Do you have sickle cell disease?
Do you have haemophilia?
Do you have blood clotting problems?
Do you have any other blood conditions?

Allergies

Do you have an allergy to penicillin?
Do you suffer with hay fever?
Do you have an allergy to latex?
Do you have an allergy to any medicines?
Do you have an allergy to anti-tetanus serum?
Do you have an allergy to plants?
Do you have Eczema?
Are you allergic to any foods?
Are you allergic to aspirin?
Have you ever had a bad reaction to general anaesthetic?
Have you ever had a bad reaction to local anaesthetic?
Do you have any other allergy?

Chest & Lungs

Do you have any form of COPD?
Do you have cystic fibrosis?
Have you ever had pleurisy or pneumonia?
Do you suffer from asthma?
Have you ever had any surgery to your chest?
Do you have any other chest condition?

Other Conditions

Have you ever had any liver disease (e.g. jaundice)?
Have you ever had any kidney disease?
Do you (or a blood relative) suffer with diabetes?
Do you suffer with acid reflux?
Have you ever had an eating disorder?
Do you have a hiatus hernia?
Do you suffer from epilepsy?
Do you have bone or joint disease?
Do you have an artificial joint?
Do you suffer with fainting attacks, giddiness or blackouts?
Have you ever suffered with cancer?
Any other (past or current) serious or infectious disease?

Warnings

Are you pregnant or possibly pregnant?
Are you currently breastfeeding?
Do you require antibiotic cover?
Have you taken steroids in the last 2 years?
Do you take bisphosphonates?
Do you have problems being reclined?
Are you currently under the treatment of a doctor?
Do you carry a warning card?
Do you bleed or bruise excessively following surgery?
Do you suffer with a phobia or fear of the dentist?
Other treatment that has needed you to be hospitalised?
Anything else your dentist should know?

Medications Taken

Are you currently taking any medications?
Provide a detailed list of any medications that you take

Oral Health Survey

The next few pages will ask you questions about your dental health. Please complete as fully as you can. Click next to move through the pages
Areas of concern (Tick all those statements that apply to you)
Appearance (Tick all those statements that apply to you)
Information (Tick all those statements that apply to you)
Dental Practice Membership (Tick all those statements that apply to you)
How happy are you with the state of your general dental health? (1 being very unhappy, and 5 being very happy)
How anxious or nervous are you regarding dental treatment? (1 being very anxious, and 5 being not at all anxious)
How happy are you with the appearance of your smile? (1 being very unhappy, and 5 being very happy)
How happy are you with the colour of your teeth? (1 being very unhappy, and 5 being very happy)
How happy are you with the alignment (straightness) of your teeth? (1 being very unhappy, and 5 being very happy)
How likely are you to have cosmetic skin injections to improve fine lines and wrinkles in your skin? (1 being very unlikely, and 5 being very likely)
How likely are you to have dental sedation whist you are having dental treatment? (1 being very unlikely, and 5 being very likely)

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