We are in Shrewsbury, Shropshire in the heart of the Midlands in the UK

Find a hotel

We are in Shrewsbury, Shropshire in the heart of the Midlands in the UK

Find a hotel

Contact Us - Detailed Form

Scroll down to enter detailed information. Providing this will enable us to better assess whether we can help you and thus avoid wasted appointments

Detailed Info - Back to top of form

Medical History

YesNo Are you currently undergoing any treatment from your GP?
YesNo Are you taking any medications?
YesNo Have you seen anyone else about implants previously?
YesNo Have you actually had implants placed before?
YesNo Have you had any problems with implants before?
YesNo Do you attend your dentist regulary?
YesNo Are you nervous about treatment?
YesNo Are you currently having any additional dental treatment?
YesNo Do you smoke?
YesNo Do you live alone?
YesNo Do you have any relevant physical disablities?