Start receiving new patients today

Register your practice with Accidentist in just ten minutes.

Complete the simple registration form and confirm your email address to create your account.

Then just connect your Stripe payment account and you'll instantly be eligible to start receiving patient referrals

No joining fee or subscription

Accidentist is a free patient referral service. We simply take a fixed fee for every patient referral that you accept.

Need more information? Check out how our service works for practices

Sorry, there were some problems with your application

Please review and correct the errors below to apply to Accidentist

About you.

Your name

Your phone number

Legal agreement

Practice Legal Entity

We require the name of the legal entity that owns the dental practice where your patients will visit (i.e. the limited company/partnership or sole trader that owns the practice)

I confirm that I have read and agreed to the Accidentist Practice Agreement, and have the authority to do so.

About your practice.

Practice name

Practice email address

This is used to access your Accidentist account and where we will notify you of new patient enquiries. We recommend using the email address for your receptionist or practice manager

Practice Address line 1

Address line 2

Address line 3

Address line 4

Practice Address city

Practice Address postcode

It's important that you enter your practice address accurately, as we match patients to practices based on distance. We also show this address to patients so they know where to attend for their appointment