Appointment request Complete the short form. Our reception team will contact you and confirm the appointment after consultation with the dentist. Are you experiencing acute pain or swelling? This form is not intended for emergencies. Please call us on +421 903 786 631 . Website Contact details Full name * Telephone * E-mail * Patient status * Select an option New patient Existing patient Requested treatment Reason for visit * Select an option Preventive examination Acute pain or dental problem Dental hygiene Consultation Continuation of treatment Prosthodontics or aesthetic dentistry Oral surgery or implantology Other Preference No preference Dentist Dental hygiene Preferred date Preferred time Any time Morning Afternoon Message for reception I consent to the processing of my personal data for the purpose of handling this appointment request. Privacy policy * Send appointment request Submitting this form does not confirm an appointment. Our reception team will contact you.
