Fill out the form linked below to obtain a FREE personal Dental Recommendation from one of our Dentists. The form is mobile friendly and takes 10 minutes to fill out. You will need to be prepared with the following:
- Your medical and dental history (please read the Medical section thoroughly)
- Images as per our photograph examples below
We require photographs to be provided with your Online Assessment.
Please ensure you follow the instructions and examples. If you provide us with non-compliant photos, this may delay your Dental Recommendation.
Photographs should all be:
- As per the PDF examples below
- Clear and in focus
- Good lighting
- 1MB MAX (If photos are larger than this please email photos separately to firstname.lastname@example.org after you finish)
- As close as possible to you (not taken from a distance)