Patient Registration Forms

Please find below some forms that we need you to complete before your appointment. They are designed to give us all of the information we require to provide you with the best care possible.

If you are already a patient at DrBK, we may ask you to fill out the forms again from time to time to ensure that we always have the up-to-date status of your current medical and dental health. Your data will always be securely stored. View our privacy policy here.

1) Communications Consent Form ➪

2) DrBK Practice Policies & Procedures ➪

3) Medical History Form

Please note that there are two medical history forms, one for Dental Patients and one for Facial Aesthetic & Skin/Laser Patients. Please choose the form that is relevant to your appointment.

Medical History Form: Dental Patients ➪

Medical History Form: Aesthetics/Skin/Laser Patients ➪

4) Photographic Consent Form ➪

Please ensure you have filled out all of the necessary forms.

Testimonials

"I spent years not being able to smile as I hated my teeth, I was told many years ago that it would be impossible to straighten them, this left me with no confidence. Then I was told to visit Dr Bob Khanna. Today I feel great about myself, I have learned to smile again & I owe this to Dr Bob & his wonderful team. Many many thanks Dr Khanna for the work you have done, I will remain a loyal customer to you in the future." - Annie

"I could not be happier with the results Prof Bob Khanna has given me, from the very start the staff at Dr BK clinic were very informative and helpful. My nose now looks as it did before I damaged it, Prof Bob Khanna listened to my exact needs and as to what I wanted to achieve, and this shows in the way my nose now looks, I will definitely continue to come back to the clinic for future treatment." - Jason

"If you want a comprehensive, safe, quick and satisfactory treatment for your face just visit dr bob Khanna. I got my tear troughs, cheeks & non-surgical facelift done yesterday, it was pain free, took less than 20 minutes, huge transformation in a very natural way immediately and now I can't be happier. Would never get safer hands than Dr Bob's. He is a magician, love you for making me love my mirror again" - Rand

"I had been diagnosed with bruxism by my dentist and had been wearing a plastic mouthpiece every night for over five years. I read about the BK Clinic in a national newspaper and made an appointment. The team were very warm, friendly and put me at ease. Professor Khanna diagnosed my problem within minutes. Within 2 weeks I was pain-free, sleeping better and my ugly mouthpiece was ditched. I would not hesitate in recommending the DrBK Clinic, Professor Khanna is extremely knowledgeable and passionate about what he does and I only wish I had discovered his services sooner." - Sarah

"Your laser hair removal is the best treatment ever, it has been so effective and I never have to worry again about waxing, I was so grateful to find it was also not painful compared to other laser treatments I have had in the past. It felt like a warm massage. Thank you." - Cassie

Professor Bob And his wonderful caring team is the only clinic to go. I am always reassured and always feel welcome. I feel I am in the magic hands of Professor Bob. Pain free fabulous results. He simply loves his profession loves people and cares. What more an you ask for. Professor Bob achieves his work of art." - Renee

"I couldn't fault my experience, Prof Bob Khanna and the staff at the clinic were friendly and professional at all times. I would recommend visiting the clinic as you will be in the best hands. 10/10 for service and results." - Natasha

"Fantastic place, well looked after from the moment you walk through the door. I could not be any happier with my results there are amazing, wouldn't recommend anywhere else." - Jemma