Complete this confidential form for your FREE Dental Assessment from one of our board certified dentists.
Please note: In many cases an OPG Xray will be required for a quote to be sent. We will inform you if this is the case. We have several centres that you can visit for this x-ray.
*A confirmed treatment plan can only be provided at the time you are examined by the Dentist. All quotations provided are estimated costs of the procedure requested. All estimates given are subject to change.
Your photos are an important part of your free assessment from the Surgeon. Please follow the Photo Guidelines. If you have trouble uploading photos with this form, please email them direct to your consultant or enquiries@medimakeovers.com.