Pre-register as a patient

Save time and arrive prepared at Coastal Dental Clinic by completing the form below. The PDF version is also available for download if you prefer (see right) - you are welcome to email it to or press the button at the end of the form and it will send it using your email client, for you.

Thank you for helping us be more green!


Call us today on 064 462 202

For emergencies: 081 360 3459 Emergency rates apply

Shop 3, Ocean View Spar, Swakopmund