Had an accident or dental emergency?

Step 1

Download the PDF file below and open it on your computer.

If you don't have software to open or edit the PDF with, you can download Adobe Acrobat Reader for free via this link.

Step 2

The PDF is editable, allowing you to easily click on fields and fill them out. Don’t forget to save your changes when you’ve finished.

Step 3

Send the completed PDF file (along with any supporting documents) to us via email – assist@globaldentalscheme.co.uk

If you'd rather print out the PDF and send it back to us via post (along with any supporting documentation) please send via secured/recorded delivery to Global Dental Scheme Limited, 16 Daresbury Court, Evenwood Close, Runcorn WA7 1LZ. Please note that this method will increase processing time.

Step 1

Download the PDF file below and open it on your computer.

If you don't have software to open or edit the PDF with, you can download Adobe Acrobat Reader for free via this link.

Step 2

The PDF is editable, allowing you to easily click on fields and fill them out. Don’t forget to save your changes when you’ve finished.

Step 3

Send the completed PDF file (along with any supporting documents) to us via email – assist@globaldentalscheme.co.uk

If you'd rather print out the PDF and send it back to us via post (along with any supporting documentation) please send via secured/recorded delivery to Global Dental Scheme Limited, 16 Daresbury Court, Evenwood Close, Runcorn WA7 1LZ. Please note that this method will increase processing time.

Step 1

Download the PDF file below and open it on your computer.

If you don't have software to open or edit the PDF with, you can download Adobe Acrobat Reader for free via this link.

Step 2

The PDF is editable, allowing you to easily click on fields and fill them out. Don’t forget to save your changes when you’ve finished.

Step 3

Send the completed PDF file (along with any supporting documents) to us via email – assist@globaldentalscheme.co.uk

If you'd rather print out the PDF and send it back to us via post (along with any supporting documentation) please send via secured/recorded delivery to Global Dental Scheme Limited, 16 Daresbury Court, Evenwood Close, Runcorn WA7 1LZ. Please note that this method will increase processing time.

Step 1

Download the PDF file below and open it on your computer.

If you don't have software to open or edit the PDF with, you can download Adobe Acrobat Reader for free via this link.

Step 2

The PDF is editable, allowing you to easily click on fields and fill them out. Don’t forget to save your changes when you’ve finished.

Step 3

Send the completed PDF file (along with any supporting documents) to us via email – assist@globaldentalscheme.co.uk

If you'd rather print out the PDF and send it back to us via post (along with any supporting documentation) please send via secured/recorded delivery to Global Dental Scheme Limited, 16 Daresbury Court, Evenwood Close, Runcorn WA7 1LZ. Please note that this method will increase processing time.