Voluntary Removal

If you would like to be removed from the register and are not subject to fitness to practise proceedings, please fill in the form below and a member of the Registration team will get in touch with you regarding next steps.

[ * = mandatory fields]

Title*

First name*

Last name*

What type of registration are you completing the form as?*

Dentist

Dental Care Professional

GDC Registration number*

Email address*

Phone number

Registration end date*

Are you subject to ongoing fitness to practise (FtP) proceedings?*

Yes

Any specific details you want us to consider regarding your request for voluntary removal?

characters remaining

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