Before our visit

Before we can offer you a home visit two forms must be completed, returned to us and payment received (for band 1 dental assessment).  

They are:

  • a medical history form 
  • orange PR form – the front of this form must be completed in all cases. The back of the form should be completed if the patient is exempt from paying NHS dental charges 

If you are having difficulty completing the forms, please telephone our receptionist for assistance. The telephone number can be found on the enclosed letter. 

Once we have received all the necessary information our receptionist will contact you to arrange an appointment. Please inform us of any other appointments or carer visits you may have and we will do our best to accommodate them. 

Before the appointment we will contact you by telephone and try and give an approximate indication of the time of our visit, e.g. morning or afternoon. However, the dental team is out on visits all day and delays are sometimes unavoidable. 

If you are unwell or do not wish to receive a visit for any reason please telephone and let us know, so that the appointment can be offered to another patient from the waiting list. 

What services can be provided in a domiciliary setting?

There are a range of dental services which can be provided, including simple fillings/dressings, provision of dentures, simple extractions and cleaning of teeth.  

Not all dental procedures can be provided in a domiciliary setting, in some cases a hospital or clinic environment may be necessary for the patient's safety. 

Each patient's case is individually assessed by the dentist and a decision will be made with the patient about treatment options and how to proceed with the dental care the patient's needs. 

NHS dental charges

Normal NHS dental charges apply, and you will be asked to pay the initial fee before the first visit. If you are exempt from paying NHS dental charges, please send evidence of your exemption when you return the forms listed above. 

The home visit

  • a dentist and nurse will come to visit you for an initial assessment 
  • it is helpful if the patient is positioned in a well-lit area with good access for the dentist
  • we may require access to hand-washing facilities and an electrical socket
  • please do not smoke before or during the visit. This may jeopardise and delay your treatment
  • please make sure that all pets are removed from the treatment room, ensuring that dogs are safely secured in an alternative room whilst the dental team make their visit
  • the first visit is for an assessment only
  • all treatment will be explained to you together with costs, if applicable 

Emergency appointments

Patients under care of the service should contact their usual clinic as early as possible (Monday to Friday).

Request an alternative format

The Trust provide resources in alternative formats, including language translations, large print, braille, easy-read format or on audio tape. Please contact the Communications and Engagement Team at if you require this resource in another format.