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Online Smile Questionnaire

In preparation for your video appointment with our Qualified Doctor or one of our dentists, please let us know a little more about your smile, by completing the form below. It will only take about 2 minutes and is easy to complete, but any problems, please get in touch with our friendly team by calling 01884 34638

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Please upload some photographs of your teeth to help our dentists assess your smile & advise on the best course of treatment.

Please note, below you can upload as many as five different photos. Take a look at this example image for some tips on taking the most helpful images. This is optional but would be helpful. .

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Please understand that by submitting this form, you consent to future contact from Ingleby House Dental Practice. This includes both marketing and non-marketing communications by phone and or email. We will never sell your personal data under any circumstances & you may opt-out of receiving our communications at any time..

Online Smile Assessment
Online Smile Assessment

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