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NHS Waiting List Form

Simply fill in the details using our secure NHS waiting list form with your details.

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NHS Waiting List Online Form – Under 18s Only

NHS Waiting List Form

Please complete the form below if you wish to be added to our NHS waiting list at Hywel Samuel Golate.Once submitted below you will be taken to our Medical History Form where you can fill-out your details.

This form is for under 18s only.

Quick Contact
029 2037 1393

Golate Street , Cardiff

029 2183 3235

Loudoun Square Medical Centre, Butetown

0300 10 20 247

Dental Helpline. This service is available after 6pm week days, weekends and bank holidays.

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Email our team directly or use our secure contact form.

Opening Times

Mon – Thurs: 8.00am – 6.00pm Fri: 8.00am – 5.00pm

Early morning appointments are arranged with your dentist and on a private basis only.


Convenient, quality dental care in the heart of Cardiff

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"What can I say! I’m a qualified dentist in Cardiff and needed a crown, an excellent job and didn’t feel a thing."
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Mon – Thu: 8am – 6pm
Fri: 8am – 5pm

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