Changing your Denplan

dentist

Changing your dentist under Denplan

If you are moving house, going to college or if there is a change in your circumstances, you may
need to change your dentist. As your Denplan care contract is between you and your dentist and
is non-transferable, please follow the simple steps below to ensure a smooth transition.

Action plan for a smooth transition to a new dentist

Arrange a leaving appointment This will enable the dentist to finish any outstanding
treatment needed, where appropriate
Ask the dentist to complete a Patient Leaving form You will need to give this to the new
dentist. This will give them valuable information about your past dental history
Write to or telephone Denplan to cancel the existing contract giving at least 21 days notice
You need to end the contract with the present dentist. The contract will expire on the last
day of the month, after your 21 days notice has finished. Supplementary Insurance cover
will end on the same date

Action plan for a smooth transition to a new dentist

Re-register with a new Denplan dentist Denplan can send you a list of Denplan dentists in
your local area at your request, or you can search for a new dentist using the Find a Dentist
facility on our website: www.denplan.co.uk

Please remember to give the new dentist the completed Patient Leaving form.

Check if there will be an examination fee for a new patient registration Check this before
booking an initial appointment with the new dentist as this can vary from practice to
practice
Complete a new application form and Denplan contract at the initial
appointment with the new dentist If you re-register on to Denplan within six months
of ending the previous registration, you can re-register with Denplan free of charge. The
application form is sent to Denplan so that we can update our records and start collecting
payments on the new dentists behalf. You do not need to change your Direct Debit
instruction unless your previous bank details have changed or your contract has lapsed.

 Check your monthly fee Each Denplan dentist sets their own fees, so the new dentist may
charge a different fee. However, as part of the total monthly payment 90p represents the
premiums for the Supplementary Insurance provided by AXAPPPhealthcare Limited which
includes Insurance Premium Tax at 5% (excluding residents of the Channel Islands and the
Isle of Man) and 39p is the fee payable to Denplan for providing Insurance Services. This
cost is the same for all Denplan patients
Note the date the contract ends with your previous dentist Arrange for your new contract
to commence after your previous contract ends. This will help you to avoid over-lapping
registrations and double payments
Check that your dentist is happy with your treatment needs Remember: Clinical opinion
between dentists can and do vary. The new dentist may have a different opinion of your
treatment needs, and there may be a difference in what is included and/or excluded from
your contract

Please note:

Your Supplementary Insurance and Insurance Services will re-commence once

you have registered with a new dentist. The commencement date will be advised to you in
the confirmation letter we send to you
You may end the contract (including your Supplementary Insurance and Insurance
Services) by contacting Denplan within the cancellation period, which is 14 days
following conclusion of your contract

Questions?
Need further advice?
Please call our Customer Advisor Team on:

0800 401 402

DenplanPatient Leaving Form

Current preventive care programme including recall interval and long term aims

Dentist copy
Please keep this form for your records
Patients details
Title
Date of birth

Mr

Mrs
D

Ms

Miss

M M

M M

M M

Date of last radiographs

Other
Y

Date of last routine examination D

History of Oral Health Scores (if Denplan Excel Accredited dentist)

First name

Score

Surname

Score

Denplan Registration No.

Score

Registration date D

M
M M
M

A B C
Category

Score

YY YY YY YY
E

Date D

M M

Date D

M M

Date D

M M

Date D

M M

Radiographic report

Point score

Exclusions to contract, if any

Outstanding treatment (if any) and reason

(All treatment should be completed before the patient leaves your care)

Hard tissues please comment on condition of restorations and tooth surface loss

Treatment declined (if any)with comments

Contact details should you wish to discuss any aspects of the patients dental history.

Soft tissues/mucosal lesions please comment

Trauma history (if any) and relevance to on-going treatment needs

Telephone
Membership No.
Are you a Denplan Excel Accredited dentist? Yes

Date of patients leaving examination D

BPE

Date D

M M

No

M M

Y I confirm that the named

patient was in a reasonable state of dental health except as noted above

Dentists name

Dentists signature
Date
7
DD DD

M
M M
M

DenplanPatient Leaving Form

Current preventive care programme including recall interval and long term aims

Patient copy to be completed by your dentist

Please keep this form and give it to your new dentist
Patients details
Title
Date of birth

Mr

Mrs
D

Ms

Miss

M M

M M

M M

Date of last radiographs

Other
Y

Date of last routine examination D

History of Oral Health Scores (if Denplan Excel Accredited dentist)

First name

Score

Surname

Score

Denplan Registration No.

Score

Registration date D

M
M M
M

A B C
Category

Score

YY YY YY YY
E

Date D

M M

Date D

M M

Date D

M M

Date D

M M

Radiographic report

Point score

Exclusions to contract, if any

Outstanding treatment (if any) and reason

(All treatment should be completed before the patient leaves your care)

Hard tissues please comment on condition of restorations and tooth surface loss

Treatment declined (if any)with comments

Contact details should you wish to discuss any aspects of the patients dental history.

Soft tissues/mucosal lesions please comment

Trauma history (if any) and relevance to on-going treatment needs

Telephone
Membership No.
Are you a Denplan Excel Accredited dentist? Yes

Date of patients leaving examination D

BPE

Date D

M M

No

M M

Y I confirm that the named

patient was in a reasonable state of dental health except as noted above

Dentists name

Dentists signature
Date
7
DD DD

M
M M
M

Denplan Limited, Denplan Court, Victoria Road, Winchester, SO23 7RG, UK.
Tel: +44 (0) 1962 828000. Fax: +44 (0) 1962 840846. Email: denplan@denplan.co.uk
Registered in England No. 1981238.
Registered address Hambleden House, Waterloo Court, Andover, Hampshire SP10 1LQ.
PREG05 03-12

Part of Simplyhealth, Denplan Limited is an Appointed Representative of Simplyhealth Access

which is authorised and regulated by the Financial Services Authority. This information can be checked by visiting the FSA
register which is on their website: www.fsa.gov.uk or by contacting the FSA on 0845 606 1234.
Denplan Limited is regulated by the Jersey Financial Services Commission.
This policy is underwritten by AXA PPP healthcare Limited. Denplan Limited only arranges dental insurance from
Simplyhealth Access and AXA PPP healthcare Limited.Premiums received are held by Denplan as agent of the insurer.
Your calls may be recorded and monitored for training and quality assurance purposes.